C09971598 / invoice 10000

Reason: Hot SpotAppointment Notes: agReason: front left- new hotspot- noticed thursday , has kept cone on and applied neocort. Client Present:Nurse:k.S Healthy Pets Wellness Testing: Done Yes / NoVaccination Type:noIntestinal worming:st Heartworm Prevention:Flea Prevention:Tick control:Microchip:Insurance and Healthy Pets Plus:guide dogs Behaviour concerns:Current medications:neocort , applied bedadine once or twice Current Diet:Type of Shampoo/Frequency:Toileting:eddu normal __________________________________________________________________________History: Presented for hot spot on LFL elbow, start 3 days ago, ox has been using dilute betadine twice a day topically as well as neocort and E collar- not seeing a huge improvement in this time compared to previous hot spot on leg (has since resolved)Examination: HR 100 RR 24 T 38 mm pinkLFL lateral elbow- erythematous, skin thickened Laboratory: Assessment: Hot spot Treatment: Clipped and cleaned area, NeocortConeCont dilute betadine BIDPlan: Assess response after hair clipped, INI by wednesday can call and have cephalexin dispensed, Discussed if recurrent consider zenrelia trial (ok with concurrent heart condition), may recur.    Vital Signs    Weight: 24.4;