C09978386 / invoice 10000

Reason: SkinAppointment Notes: Booked Online: 24/02/2026 15:37:33 PMHistory: Concerns: 3 weeks since Cytopoint inj., and H has had a flare up of pruritis- chewing forepaws, and around scrotum - EDDU normally, no D/VMeds: Nil, other than CytopointExamination: BAR, BCS 4/9Mm pink, moist, crt<2Chest ausc NADEyes and ears clean and clearDental grade P1-2C0G0LNS WNL* Integ: para-scrotal crusting, and ulceration, moist dermatitis RHS- also a black/ dried bloody discharge lesion on R inner elbow- clippered off to reveal small inflam lesion- palmar skin inflamed and crustyAbdo palp soft and comfortableMSK: did not fully examineRectal: not performedTemp: did not takeAssessment: Flare-up of pruritis, dermatitis- feet and para-scrotal DDx Contact allergy, atopyLump clippered off R inner elbow DDx dried papilloma Vs FB Vs otherTreatment: Rx prednil tapering courseCleaned skin with Chlorhex scrub, advised O to use Neocort bid, and Mediderm once weeklyO wrapping feet lightly with Koflex to stop self traumaPlan: Review at next Cytopoint inj    Vital Signs    Weight: 5.9;