C09974706 / invoice 10000

Reason: Web BookingAppointment Notes: Client name: Mark O'NeilContact number: 61412177432KS  mark.oneil@optusnet.com.auPatient name: CharliHistory: Presented for assessment of generalised itchiness and a patch of scaley skin on her RRL over the past few days. UTD NGS. Seems bothered by her leg, seen as incessant chewing/licking at it. Also seems generally itchy, but especially in this area. Otherwise well, EDDU and activity levels WNL's. Not yet desexed - O was planning to wait untilo 18 months old Examine: Demeanour: BAR Behaviour: sweetly friendly, amenable and tolerant HR: 96MM's: P+M CRT: <2sCirculatory: no auscultable murmurs or arrhythmias Alimentary: normal adult dentition, normal intermeshing of dental arcades. No calculus or gingivitis Abdominal palpation: comfortable, no palpable masses or orgabnomegaly Integument: mild focal dry scurf with slight erythema associated with RHS cranial thigh. Ears and paws free from erythema or discharge Treatment: Cleaned the affected RRL leg area using chlorhexidine, before applying Neocort for soothing effectDispensed 15 x 16mg apoquel tablets with instructions to give 1 tablet BID for 5 days, then 1 tablet SID or as needed for itch relief. Plan: Back for a recheck if her itchiness fails to resolve or reoccurs O is planning to desex her around 18 months of age - advised any time from now will be okay.    Vital Signs    Weight: 27.0;