C09977550 / invoice 10000

Reason: Itchy feetAppointment Notes: Booked for tomorrow, placed in no show consult spotHistory: Yeast in her paws & privates, been gnawing at it lst couple daysO was away for a week, mentioned it while away,Quite dark now Used ointment on it last night & this morning Pink stuff used on pawsBit lethargic, walking but not normally like she would Loves her treatsNot a big walker, gets out a lot but slow EDUF normal,  No lamenessBeen shaking her head for a month approx not really bad but didn't used to do itAlso licking her lips sometimes?UTD due now Nexgard spectra, vaccinesShampoo baby johnson every 1-2 weeksGot groomed last week, 5 weeks between grooms longer than usual Examination: BAR, chill lady6.7kg BCS 5/9 Healthy heart & lungsEyes, ears, nose, coat all clearLimited exam nervous today Skin:- staining on vulva, front paws between toe padsLaboratory: Sticky tape feet & vulva:- vulva occasional yeast + cocci pair- front feet yeast + Assessment: Pododermatitis & peri-vulva + PruritusPlan:Malaseeb onto feet Tapering prednisolone 5mg anti-inflammatory dosing for pruritus  (0.7mg/kg) 7 days then taper 2 daysContinue chlorhex on vulva wipe twice daily until resolvedRecheck if no resolution after meds    Vital Signs    Weight: 6.7;