C09972009 / invoice 10000

PROBLEM LIST:HISTORY:Since the last consultation Lani has received the following treatments:PHYSICAL EXAMINATION: INVESTIGATIONS:PROCEDURES:ASSESSMENT:DIFFERENTIAL DIAGNOSES: PROGNOSIS: PLAN:The following recommendations and treatments were made for Lani:Medications Dispensed:Other Medications:FOLLOW UP:Kaye was asked to report on Lani's progress in the following situations:REVISIT:History:  1.Describe any hair loss and whether loss affected undercoat and/or overcoat	  2.Describe any scratching, biting or licking: location and severity (scale of 1-10)	  3.Is skin problem constant or seasonal; when most seriously affected?	  4.Does pet have fleas? What products used to treat? Last treatment?	  5.What type of bedding is used?	  6.Any exposure to feathers?	  7.Type of carpet in house?	  8.Descibe diet and treats given	  9.Any exposure to indoor plants?	  10.Is skin problem worse outside or indoors?	  11.Any exposure to cigarette smoke?	  12.Describe any drug reactions	  13.Describe any skin or haircoat odours, colour changes or texture changes	  14.Describe type and frequency of bathing and products used	  15.Describe type of grooming and frequency	  16.Describe pet's exposure to other pets or animals. Have they exhibited skn disease?	  17.Do any household members or pet's close relatives have skin disease?	  18.Describe any treatment: products; frequency; dosage; last treatment	  19.How did pet respond to treatment?	Examination: Dermatologic Exam  1.Haircoat: Lustre? Fullness? Areas of hair loss? 	  2.Alopecia: Symmetry? Broken hairs?	  3.Erythema?	  4.Full Body/Primary Skin lesions: Location? Description?	  5.Full Body/Secondary Skin lesions: Location? Description?	  6.Interdigital areas and foot pads: Normal? Abnormal?	  7.Mucocutaneous junctions (lips, anus, vulva, preputial orifice, etc.):   8.External parasite evidence? Flakes? Scales? Flea dirt?	Assessment:Plan:   Diagnostic-  Therapeutic-Declined-Deferred Services:    Vital Signs