C09973768 / invoice 10000

Reason: Very Dry Skin Spot, Very Irritated -SBHistory:  Biting the tail base Red skin on the ventrum Dry scaly skin on the dorsum Otherwise well Normal DUDE On advance cavoodle food, UTD with nexgardSome eye dischrage in the last 2 daysExamine: bar, pink and moist mm, CRT <2, HR and RR wnl BCs 3/5, grade 2/4 detnal with mild tartar Grade 4/6 heart murmur lung field clear Abdominal palpation NAD and comfortabl Ventrum - papules and erythematous skin on the ventral neck Dry and scaly skin on the dorsum Both anal glands are full and expressed Assessment: skin allergey Heart murmur Plan: Given 20mg cytopoint - explains that last for 4 weeks, repeat monthly Cephalexin 200mg - 1/bid/7d for skin Discussed with owner to consider echo est $1000    Vital Signs