C10029219 / invoice 10000

Reason: Check Eyes And Lepto Vaccination Appointment Notes: Overdue remindersHistory: Owner delayed lepto injection and had already given Bravecto spot-on q4monthsHas found flaring of the skin - red patchy areas Always scratching  or licking skin - thinks related to irritation, not sure where specifically Separately found a lump on medial edge of the RHL Patchy skin condition - red limps andExamine:QAR EENT - round raised lump just off the lower eyelid margin of OS , centrally, measuring approx 0.5cm x 0.5cm, normal eyelid colour Dentition moderate tartar over teeth with gingivitis Chest ausc nad Integument patchy areas of hyperaemia over the face/skin, many with where the wart-like lumps are Integument - small subcut soft lump on medial edge of RHL BCS 6/9Assessment:Eyelid lump: chalazion (blocked oil gland), neoplasia (benign vs malignant) No need for Bravecto quantum yet as owner had already given Bravecto spot-on. Dental assessment Treatment: Protech C2i SC injPlan: Next vac due in 12 months Eye lump can be removed at the same time the teeth are cleaned. Owner wants 2x lumpectomy: plans to remove L eye lump + wart-like lesion over the dorsal neck (where the collar sits) + teeth clean + histopath    Vital Signs