C09979282 / invoice 10000

Reason: Check Over Cytopoint, AG's Nails Collecting Meds Appointment Notes: MDSubjective and history: Generally going well but becoming itchy again- due her cytopointNo new lumps but would like SQ lump on L cddorsal thorax checked Due Ag expressionHave not been using pulse therapy terbinafine in weekends and skin has been goodHave chlorhex at homeObjective: BARBCS 3.5/5 MM pink, CRT <2sec, teeth okEars: mild erythema L ear, R ear: nadVentral neck 2 x 1cm x 2cm linear areas of moist erythema Abdo okLN okLeft cd dorsal thorax is an approx 4cm soft mobile SQ mass Feet ok Laboratory: Ear cytology: R ear: nad, L ear: yeast +++STT neck: yeast ++Assessment: OE ASMalassezia dermatitis ventral neckTreatment: 1. Cytopoint 50mg SQ2. Neptra 1ml AS3. Clipped and cleaned ventral neck- Bob to apply chlorhex SID 2 weeks + restart terbinafine SID 2 weeks (rpt script) 4. Expressed AGsPlan: Recheck L ear 2 weeks    Vital Signs    Weight: 30.2;       

Reason: More Trilostane Please - Big BottleAppointment Notes: Special payment terms existOwner has phoned and requested Repeat Medications from Compounding 4 VetDrug Name: Trilostane Form: Liquid suspension (tuna flavoured)Strength: 100mg/mlQuantity: 100mlDirections: Give 0.4ml by mouth morning and night ongoing. Stop if vomiting/diarrhoea. Vet Notes: Nurse Notes: 26/02 Order placed and billed. BR--- 27/02/2026 14:34:49 NUR:Order arrived, txt sent    Vital Signs    

Reason: S/oAppointment Notes: Special payment terms existSubjective and history: Presented for s/oGoing wellLip folds have seemed a little irritatedWearing collar and not licking at FL incisionObjective: BARMM pink, CRT <2sec Heart/chest okMild erythema lip folds bilaterally- fur sl macerated. Trimmed w clippers and applied chlorhex scrubFL incision healing well, sutures in tactTreatment: 1. Removed sutures2. Cont chlorhex SID lip folds (Bob has at home)    Vital Signs    Weight: 30.5;