C09974207 / invoice 10000

Appointment Notes: Annual check and vacc  ------- Sms reply: YHistory: Due vax Just weaning off pred now - nearly all goneTaken to puffer well - using flixotide every few days. No more coughing since started.Diet tiki cat wet (a particular one that agrees with his gut) and RC 7+ kibble. WAs on satiety in the past. Prone to sensitive GIT but this food work wells forhimEDUF all okNo v/d/c/s Gabapentin 300mg before coming in (10am)Using microchip feeders but he will push delilah away from hers. Work in progress. Ivy has just measured out markings on scoop to be more strict with portionsUTD milbemax and bravecto ExamineQAR, bit wobbly from gabapentin but still a few grumbles BCS 8/9. Gained 0.3kgEyes/ears/nose cleanMouth limited exam. Teeth look clean, gingiva healthy. LN normalChest ausc NAD Abdo palp NAD Alopecia, mild generalised erythema, few tiny papules ventral abdo. AssessmentFit for vaccination Allergic skin dz ventral abdo +/- stress overgroming (likely former as responded so well to pred). Allergic airway dz - well controlled with inhalers Treatment Nobivac ducat given SC BN 2510701 exp 03-2028Plan: VAx due 12mWeight loss. If restricting portions doesn't help - swap to metabolic trial elocon SID for skin on belly (whilst hair short) - script provided. If elocon not enough can pulse treat with pred as required. 5mg SID x3d or so (if > 3 days need taper) Continue flixotide EOD/as needed    Vital Signs    Weight: 7.3;