C09974907 / invoice 10000

Reason: Lump On LF LegAppointment Notes: Not resolved after a few daysRH - DMCN CLHistory: Presented by DarrynBeen there fora bout 4 daysBeen licking itEDUFwnlNo v+/d+Onset: 4d agoSeasonal: no Diet: no changeShampoo: malasebParasite control (UTD):Environment: inside/outsideMedication: previous / response cytopoint Gives zyrtec 2 days before allergy injection and 2 days afterExamination:Clinically unremarkable, BARThoracic auscultation unremarkableAbdominal palpation splenomegaly LN L pre-scap enlargedOral exam unremarkable Ocular exam unremarkable Aural exam unremarkableHydration status adequateNeurological exam unremarkableMusculoskeletal exam pelvic limp weakness Genital exam unremarkable BOTH tesicles palp Rectal exam not performed Anal Glands unremarkableSkin lesion description/distribution LF cranio-lateral aspect of the carpus lichnification swollen subcut oedeam with fistula weeping serosanginuous fluid not painful Cytology sticky tape/scrape swab smear taken from lesion Culture and sensitivity waiting for confirmation from dermsDiagnosis/Differential Diagnosis:AtopyPlan:Dylan to speak to dermatologistWe already have a swab taken to send away if required - in fridgeTreatment:ImmunotherapyPrednisoloneZyrtekPanadol 2x scripts for cytopoint 40mg and 10mgLaboratory:  Test: LF craniolateral carpus  Results: neutrophils+++ red blood cells+++ rods+++++ cocci++++Prescription Details:Cytopoint 40mg/ml OIMCytopoint 10mg/ml OIM--- 02/03/2026 14:14:56 PM EJW:Examinations - Resolved - no action needed, came in today - EW    Vital Signs    Weight: 44.78;       MMColour: Pink;       Temperature: 37.9;       HeartRate: 102;       DentalGrade: 0;       RespirationRate: panting;       CRT: < 1 sec;