C09978799 / invoice 10000

Revisit reason:
History:
OR great up until 2 d ago when started to lick +++ again
HAs been really bothered by bottom last 24 hrs
Managing to get despite wearing EC

diet black hawk & prime 100 - flavours vary was on  salomon but recently switch to lab but had this flavour in the past

Medications: 
gaba & traz for visit - has worked really well - much easier to examine today
carp finished yesterday

EDUF: all fine
Mentation: bar, sedate, will still bark but short lived & not lunging & pretty amenable to exam today
BCS (0-5):      3
HR: ne
RR: 20
MM:    p,m              
CRT: <1
Temperature: ne
Dental Stage: ne
Any additional findings:
perianal erythema
both glands still thickened
blood tinged creamy discharge from LHS, nthign from LHS

Assessment:
ONgoing anal gland sacuclitis - allergies +/- autoimmune disease

Treatment:
clav 500mg bid

On-going medications required: Y/N (use prescription tab for further supply):

Plan: 
CP call in 3d time - if still irritated/licking lots then can dispense pred - script on file for O to collect form CL, 
RV here in 7 d time

Reason: Courtesy phone call 
Nurse:Katie 
History:
     Demeanour: BAR
     Eating/ Drinking: Eating breakfast now
     Toileting: WNL
     Any concerns?
     
Treatment:
     Medications being given: carprofen 50mg BID for 7 d
     Patient taking meds as prescribed? Yes

Assessment: Restless overnight - very sookie but doing ok 

Next Appointment: 7 days