C09972987 / invoice 10000

**S** Ella - 2yo 10m FS American Bulldog Presented for irritated skin - loosing hair around her shoulders and neck seemed to have started after they brushed her with a new brush at home has been rubbing her body around a lot more than usual so o thinks she is itchybathed her in aloveen and noticed lots of hair loss and redness on the skin seems to have helped a bit but still hair loss and scabbing around shoulders and neck eddu wnl - PREVENTATIVES: utd with vacc and preventatives - DIET: dry adult biscuits - royal canin - MEDICATIONS none**O** Demeanour : barFAS: #INPUT# MM : pink, crt<2Dental disease:1 /4 Calculus, 1/4 Gingivitis - Overall -> 1/4 Eyes: right eye - moderate entropion ( being corrected next week)Ears: clear and clean bilat, no discharge LN: soft and wnl HR: 80, ssfp, no murmurs or arrythmias, RR: pant, clear bv sounds bilat Integ: alopecia on lateral shoulders bilaterally, scabbing throughout shoulders and neck and dorsum, mildly erythematous, pruitic MSK: ambulating well in consult,full MSK exam not performed abdo palp: soft and comfortable on palpation BCS: 6/9Temp: deferred\**A** - Sticky tape - cocci ++**P** Client Communication / Options Discussed with Owner  tgh with pyohex twin pack to use weekly. tgh with cephlex 1000mg - to give HALF a tab bid for 10 days with food. Revisit with reg vet at time for spey and entropion RW    Vital Signs