C09978853 / invoice 10000

Reason: Recheck + PreGA Blood TestHistory: o reports dog has been receiving Cytopoint injections regularly but last injection has not been as effective with dog licking excessively. O has noticed red skin on ventrum. DAM discussed alternate options to manage skin allergies with o but recommended basic bloods to assess suitability. DUDE normally. Examine: MM=pink, Grade 0.5 dental dx over L upper carnassial, No audible murmur with HR = 108. Erythematous skin and saliva staining on medial thighs, caudal ventrum, axilla and inner FLs with occasional scabs palpable on limbs.Differential Diagnosis: Skin allergies (atopy/food)Treatment: Blood taken for in house bloods-WNLDispensed Zenrelia 22.5mg SID and topical Neocort cream to apply to erythematous skin. Recheck 14 days. Explained 6 mthly repeat prescription protocol to o for ongoing meds.    Vital Signs    Weight: 31;