C09973413 / invoice 10000

Reason: Licking Rashes Into Skin - OHAppointment Notes: JW  ------- Sms reply: YHistory: Skin issues on face resolved and under control. Has a rash/hotspot on eight lateral chest. Started a week ago. Hx of skin issues that required abx, pred and gaba previously. Put on z/d as well. EDDU well, no VDSCPx UTDExamination: BAREENT NADHR, RR NormalHeart, chest clearAbd palp nadMm pmgCrt 1sLnn nad2.5cm x 2cm area of moist dermatitis right lateral chest. Evidence of licking. Laboratory: Impression smear - neutrophilic inflammation with few cocci. Assessment: Dermatitis/rash secondary to suspected allergies. Treatment: Predmix 0.25ml po sid 7 days, then taperAmox/clav 1.2ml po bid 5 daysNeocort on lesions bidE collar - declined as does not do well with collar. Plan: RV 7 days for recheck, INI, next step biopsy/culture/extend course Owner will check when due for vaccination    Vital Signs    Weight: 5.74;