C09977054 / invoice 10000

Reason: L Fore Elbow - Hygroma(?)History:Presented by Jacqui today Was away for weekend and came home yesterday and noticed on elbow of front left leg at elbowLooked really swollen and red and was painful to touch O shaved itShe has been licking at it a lot Doesnt think cartrophen course has made much of a differenceStill sliding out sidewaysHas tried grips on feet and she pulls them off. Does not tolerate them Struggling to get up and down Worming/Heartworm/Flea control status: UTDVaccination status: UTDNutrition:Examination:COAT/SKIN:on left elbow, lots of comedomes present and salivary stianing around fur Skin itself seems to have resolved, no oozing, fluid filled areas or evidence of infection Assessment:Suspect ruptured cysts / pressure soreTreatment:Clipped areaMonitor Can clean with dilute betadine at home if starts to look irritated again. Monitor for signs of infection Plan:Referrla to physio / laser therpay for arthritisCan repeat cartrophen course in 6 months timeCan trial Beransa over winter if having a hard time in colder months this year    Vital Signs    Weight: 35.1;