C09978682 / invoice 10000

Reason: Itching - Hd Appointment Notes: Overdue reminders  ------- Sms reply: YesHistory:Scratching at night, but is not often, comes in waves, Off and on, Seems to freel better after having a brushWalks everyday, likes to walk in bush2d ago, noticed was biting at feet, but stopped againUTD with preventativesV/D/C/S: NonePU/PD: NoneAppetite: NormalDiet: UnchangedRecent weight changes if any: NoneCurrent medications / supplements: NonePrior medical problems: NoneAny recent anaesthesias? NilHome environment: UnchangedOther pets in household: NoneNephrotoxin access (NSAIDs, grapes, lepto water areas, ethylene glycol, ACEi, vitamin D psoriasis cream/supplements): NilHepatotoxin access (sago palm, mushrooms, blue/green algae, human or other pet medications, xylitol):NilImmune-mediated disease triggers (beta lactam antibiotics, TMS, recent vaccinations):Nil Examine:Mentation:BAR demeanorBCS - 6/9MM - pink moistCRT -<2sHeart/Cardiovascular System - Normal HR, normal sounds and rhythmLungs/Respiratory System - Normal RR, normal sounds and rhythmEyes - NormalEars - NormalOral Cavity - NormalTemp - not takenLymph nodes - NormalAbdo - NormalIntegument - NormalMsk - NormalUrogenital - NormalNeuro - NormalRectal examination - not examinedAssessment: Healthy skinTreatment/Plan: Monitor prurits for now    Vital Signs    Weight: 6.4;