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We did end up finding a puncture hole next to the ear and did bring him in. Toby is very healthy and it was just a growth. It's nothing to worry about the said. They did on the other hand treat the puncture hole. He will be fine thank you for your feedback.

I'm new to this site im having some problems with my cat. He came in the other night a little beat up. When we were looking him over we found a piece of skin or something coming from his nail bed. Anyone have any clue on what this is?