C09973505 / invoice 10000

Reason: Recheck Paws, Still Not Better >KMHistory:See prev. O has completed 1 week course cephalexin. Reports has maybe made lesion a little less red but chili is sstill chewing at it incessantly. Thinks can get it around inflatable e-collar. Has been otherwise ok. No new lesions noted. Not itchy anywhere elsePEDorsal surface of RF carpus 8mm diam round ulcerated alopecic lesionSurface very moist and ulcerated.No other lesions foundTreatment:Clipped lesion againCleaned dilute chlorhexTrial topical therapyO to clean twice daily with either chlorhexidine or betadine ointment or dilute iodine. Leave on for 5 mins then dry.Apply neoocrt cream liberally once dryPrevent all licking at area - plastic e-collar fittedPlan:Recheck in 1 weekIf not resolved consider biopsy - skin scrape or punch biopsy.>KM Eclaims    Vital Signs    Weight: 7.4;