C09974776 / invoice 10000

02/03/2026 Reason: Skin

History:
Went to groomers yesterday, groomer advised upon shaving they noticed many crusty lesions on belly, suspecting hotspots
Not particularly itchy, licking occasionally but not excessively, maybe only here and there
No history of skin allergy or hotspots prior
EDDU well, no CVSD. 
UTD PPV with monthly chew, unsure of brand

Vital Signs:
Temperature:  not taken
Heart Rate:  140 bpm 
Pulse rate:  140
Pulse character: strong and synchronous. 
Respiration Rate: pant. 
MM: pink, moist
CRT: <1 sec

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 5/9
Eyes: nad. no redness, discharge, blepharospasm. responds to visual stimulus
Ears: nad. no debris or inflammation
Nose:nad
Oral Cavity: mild tartar upper gumline at canines, rest nad 
Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular
Respiratory: RE normal , auscultation normal
Abdomen: soft and comfortable
Musculoskeletal: ambulatory all 4 limbs
Neurological: appropriate mentation
Integument: circular crusty lesions along ventral abdomen, lesions ranging from 0.5-1.5cm diameter, no erythema. woodslamp negative; sticky tape prep intracellular cocci noted
Peripheral LNs:Normal size, symmetrical
Urogenital: not assessed
Rectal exam: not examined

Assessment/Problem List:
1. Crusty circular skin lesion
DDx: infectious (bacteria vs. fungal) vs. underlying CAD vs. hotspot vs. immune mediated vs. other

Plan:
Amoxyclav 250mg 1/2 tab PO BID x14d
Pred 5mg 1/2 tab PO BID x3d, then PO SID x3d, then PO EOD until finished
Gently clean lesion with dilute chlorhex BID x4-5d

Recheck INI