C10028153 / invoice 10000

Reason: Old Age Check Very Unwell Maybe A PTS? Appointment Notes: she didnt mention PTS however dogs nearly 14 sounds like has alot of issues - AB running 5 mins lateHX: O claims 2 years ago claims couldnt get dental done as too a big a ga risk (last vet) only eating small particle size. Cfs: L aged dog, L submandibular swelling mid jaw line and suspect crepitus felt with pressure directed ventrodorsally, dog wont allow oral exam conscious, heart and lung ausc nad, abd palpation nad, Dx openDdx dental disease, infection, neoplasiaTx ex under ga and rads. Guarded px.    Vital Signs    Weight: 4.4;