Lethargic dog with anorexia and pain

Review of Systems

  • General: Quiet, alert, and responsive

  • Skin: Small, firm mass near 10th rib

  • HEENT: Noncontributory

  • Pulmonary: Noncontributory

  • Cardiovascular: Noncontributory

  • Gastrointestinal: Noncontributory

  • Genitourinary: Perirectal swelling

  • Musculoskeletal: Hind limb incoordination

  • Neurologic: Noncontributory