C09978228 / invoice 10000

Reason: Patch Loosing Fur NZAppointment Notes: Overdue remindersHistory:RHS dorsum only one alopecic patchO only just got home 1h ago so unsure how long it's been going on for, havne't been able to ask kids.No bleeding of the wart on the LHS dorsum, been wearing a shirt, still rubs with the shirt onRHS flank subcut lump and ventral thorax lump not newEdud well.O unsure what time kids gave phenobarb today - O knows due a recheck of liver enzymes, abdo u/s, and phenobarb levels, last done Aug 2025. Brought in by: SandraDiet: Worming: Heartworm:Fleas: Ticks:  Medications:  Other:Vaccines/other meds due or near due: Examine: 1. BCS:     /52. Integument: complete ciruclar alopecic lesion on the RHS dorsum thoracolumbar junction, mildly erythematous, no crusting, no papules/pustules.3. Musculoskeletal: ambulatory 12. Behaviour: very good girl13. Other: Laboratory: cytologySticky tape impression: keratinocytes +++, paired cocci++Treatment: N/aDiagnosis: Consider self-trauma with mild secondary bacterial infectionPlan:Chlorhex SID then neocortO has neocort at homeCan keep tshirt on, just need to make sure to dry the skin after cleaningINI after 1wk then recheck, O knows will take some time for the hair to grow backO knows due for a recheck phenobarb + liver values + abdo u/s to recheck GB as on urso - adv to come in 4-6h after AM dose for peak testingReminders  Updated: YES    Vital Signs    Weight: 9.9;