History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Testing
Test Results
Test Interpretation
Differential Diagnosis
Relevant Next Steps
Question 1
Question 2
Question 3
About the Case
Young hound with a mass on the lip
Physical Examination
General appearance
: Young dog with small fleshy mass on lower lip. Body condition score of 5.
Vital signs
:
Temperature: 38.2°C (100.7°F)
Pulse: 72/min
Respirations: 21/min
Weight: 34.5 kg (76.0 lb)
Skin
: Fleshy mass with irregular surface, 0.5 cm diameter, slightly pedunculated on lower left lip
HEENT
: Sclera white, mucous membranes appear pink; no cervical lymphadenopathy
Pulmonary
: Regular rate and rhythm with no increased effort; no cough or nasal discharge; lung sounds normal.
Cardiovascular
: Capillary refill time is normal; no jugular distension, murmur, or arrhythmia
Gastrointestinal
: Gut sounds present and unremarkable
Genitourinary
: Unremarkable
Musculoskeletal
: No pain or swelling of joints; gait normal
Neurologic
: No cervical nerve deficits or other abnormalities noted
Mental status
: Bright, alert, and responsive
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