C10026611 / invoice 10000

Reason: Recheck Eye - No BetterAppointment Notes: See Mc's notes, couldn't come in on his day.History: Upper eyelid lump came up suddenly, first noticed by children a couple of weeks ago.Has been treated with topical ointment and 7 day course of amoxyclav.Examine: OD upper lid medial third 12 x 6mm diameter fleshy lump. Intact palpebral reflexes, no globe involvement. Does not appear to involve the meibomian glandular tissue.Assessment: Gross appearance is consistent with a pyogranulomatous blepharitis lesion.Miscellaneous Client Advice: Definitive diagnosis requires short GA and incisional biopsy. Am happy to treat on clinical appearance and if does not respond as would anticipate then can pursue HP diagnosis.Treatment: Dispense:1. Doxycycline 50mg tablets (25): dose 50mg PO q 24h with food2. Prednisolone 5mg tablets (100): dose 10mg PO q 12h x 14 days then 5mg PO q 12h x 14 days.MUST recheck in 1 month.    Vital Signs    Weight: 6.4;       Temperature: 38.3;