C09977779 / invoice 10000

Reason: 2 Week Revist Appointment Notes: GWHistory:  Skin as a whole has improved however is still liking at his carpus and wrist area on the right front legIs other  wise wellExamination: Right front leg there is still some hairloss presentRemainder of skin all looks normal - no inflammation present Laboratory: Assessment:  ?? If licking at right front elbow/carpus is either pain (ie arthritis) or behaviouralRemainder of skin has resolvedDiscussed with owner using hills metabolic moblity as a prescription diet for him to try and reduce weight slightly but also for the mobility supplements for his jointsTrial panadol 500mg BID to see if that stops him licking is RFL - would do metacam trial but in the past it has upset his stomachContinue on apoquel at once daily dosing.Dispensed more apoquel today to continue on for another month    Vital Signs    Weight: 52.8;