C09972096 / invoice 10000

Reason: Allergies AHAppointment Notes: req hx from pet Dr AHReason: History: Gets regular cytopoint, last dose 5 weeks ago. O unsure how often they are actually giving it. Possibly every 3 months?O thinks allergic to grassAlso gets 10mg zertec most days- particularly during spring and summer. Still eating really wellSeems a bit down over the last few days as the itching and scabbing has appeared and worsenedExamination: Staph collarettes on sides and inguinal region and one on the side of the faceEars clearAxilla lichinification and hyperpigmentation left worse than rightAbdomen comfortaleHeart and lung sounds clearBCs 4/5Moving wellDental grade 2Well behaved, a little worriedMild alopecia on palmer/plantar aspects of feetAssessment: allergy with secondary skin infectionsTreatment: Consent has been given by the client to proceed with this treatment  -  YesDiscussed options for treatment of skin infection- recommend pyohex bathing SID for 7 days then use as maintenance bathing regularly. Oral cephlexin 15mgk/g BID for 10 days. If scabbing not completely resolved by the end of the course then revisit and reassess for longer course. Discussed diarrhoea common with cephlexin- if worried call for advice, give with meal to reduce severityDiscussed changing to Zenrelia orally 6.4mg SID for more consistent control of allergy and itchingDiscussed diet trial and how to go about if as O was curious to know how it was done. They aren't sure if they will do so, but may.--- 02/03/2026 09:03:48 AM 8AH:Examinations - Resolved - follow up text sent    Vital Signs    Weight: 9.4;       

Original Vet : Jace Jie Wei KohReason: Sore Foot, Been Biting/chewing At For A WeekAppointment Notes: dcHistory: Charlie does has a history of allergic skin condition- O usually gives him anti-histamine daily but has stopped that. Has also had Cytopoint injs before too. Os also clean his feet with baby wipes daily after walks, and uses Aloveen and medicated shampoo baths for him. This past week he has been biting and licking at the LF paw excessively. Last night would not walk up the ramp. O then realised he was refusing to put weight on the LFL while walking last night. Today he is putting more weight on the paw. Objective: BAR, worried dogBCS 8/9- obeseTemp not takenSkin: No obvious skin lesions on rest of body aside from feetMSK: Walking fine in consult. Slight clicking on both forelimbs during carpal manipulation. All 4 feet are mild to moderately erythematous with brown staining, worst on LF feet. There is also a focal circular (likely follicular cyst) on ventral aspect of LF feet, just above the carpal pad. No other swelling seen. Assessment: Likely pododermatis with secondary infection on LF feetSuspect OA in joints due to his weightTreatment:Cytopoint inj 20mg SCCepahelxin 120mg PO BID 2 weeksPred 5mg PO SID 5 days, then tapering dosePlan:Treat and manage the pododermatitis for now. Weight managementRecheck INI or worsening    Vital Signs    Weight: 10.2;