C09978925 / invoice 10000

Reason: Infection / EarAppointment Notes: Booked Online: 28/02/2026 18:57:56 PMBooking Type: Skin, Ears, Eyes or LumpsBooking Notes: Possible bacterial infection on belly.  Need to check for yeast in right ear tooOwner Name: Susan  Cunningham Owner Email: syc.cunningham@gmail.comOwner Mobile Number: 0409254949Pet Name: JosiePet Species: DogWeb BookingClient name: Cunningham Contact number: 0409254949Email address: syc.cunningham@gmail.comPatient name: Josie  ------- Sms reply: YHistory: Long history of skin allergy, skin dermal testing revealed protein in grass Current medication: Apoquel 16mg 1/4 tablet PO SID AMAnti-histamine PO SID PM Examination: BAR, nice doggo, MM pink and moist, CRT 1 sec Chest auscultation normal BCS 6/9- round abdomen Eye- normal Ear- clear ear pinnae- clean ear swabs when samples taken Oral exam- grade 2/4 Integument- mild generalised erythema on ventral abdomen, paws, perivulval area- mild focal crusts at inguinal region - no epidermal collarettes Laboratory: Ear swab cytology- no infectious agents Assessment: Contact allergy, poor control of pruritus with current medication Treatment: Cytopoint 10mg SCApoquel 5.4mg 1 tablet PO SID (higher dose than current dose) if cytopoint inadequate control Consent has been given by the client to proceed with this treatment  -  Yes Plan:Monitor response    Vital Signs    Weight: 9.35;