POMA: Examples - Masses

4 important questions on POMA: Examples - Masses

What kind of information should I be taking for masses?

1. Trauma/fights/interactions with other animals
2. Are they pruritic?
3. Exposure to toxins
4. How many masses?
5. Growth of masses
6. Any systemic disease

What would PE look like for masses?

1. Characterizing mass (size, shape, location, depth, ulcerations, mobility)
2. Checking local lymph nodes

What is the 1-2-3 rule for masses?

1. Has the mass been present for over 1 month?
2. Has the mass DOUBLED in size since discovery?
3. Is the mass 3cm or larger in diameter?
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How do we formulate a plan/treatment for masses?

Using the differential diagnoses from assessment, suggest FNA, incisional biopsy (punch/tru-cut biopsy), or excisional biopsy (fulle excision of mass +/- margins). Treatment will depend on the results of the diagnostic plans

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