C09975885 / invoice 10000

Reason: Skin / AllergiesAppointment Notes: Paws App Details:Booking Type: ConsultationBooking Vet: - Any -Booking Notes: Skin allergies againPet Insured: YesVerified: NoHISTORYPresenting for: Butch presented for generalised skin condition with bacterial overgrowth and heat intolerance issues over the last monthHistorical Conditions: Previous airway surgery performed, chronic atopic dermatitis with recurrent skin infections, arthritis managed with monthly injectionsSkin: Generalised skin inflammation and irritation with barrier breakdown leading to bacterial overgrowth and secondary infections, condition worsening over the last monthCurrent Meds: Cytopoint injections (anti-allergy), Solensia injections for arthritis due 16/3, flea and tick prevention and intestinal worming every 3 monthsEXAMWt: Patient has lost some weight since last visitBCS: Could benefit from further weight lossIntegumentary: Generalised skin inflammation and bacterial overgrowth presentASSESSMENTGeneralised bacterial pyoderma secondary to chronic atopic dermatitis - Current flare-up likely exacerbated by recent warm, humid weather conditions and inadequate allergy controlHeat intolerance in brachycephalic breed - Despite previous airway surgery, patient continues to experience heat stress due to residual anatomical limitations and current weather conditionsWeight management - Some improvement noted but further weight loss would be beneficialPLANNew Meds/Tx:- Antibiotics: One tablet daily for 2 weeks, complete full course- Medicated shampoo for topical management: Massage well and leave on skin, use daily to every second day when condition is active, reduce frequency to weekly or fortnightly as improvement occurs- Conditioner: Apply after shampooing, towel dry and leave on bodyAdditional Discussion:- Heat management crucial during current warm, humid weather - restrict exercise and outdoor activities when temperature above 25°C- Topical therapy to be used at first signs of skin flare-ups before progressing to oral medications- Patient will return for routine Solensia injection in couple of weeks, too early to administer Cytopoint concurrently- Monthly monitoring during Solensia visits will allow early detection and management of skin issues    Vital Signs    Weight: 32;