C09979392 / invoice 10000

Appointment Notes: Booked Online: 02/03/2026 12:55:46 PMHistory: Hx  from owner - Just want to check a patch on his neck. Seemed to have a section of matted hair, gave him a wash and it fell out (the hair on the small section), leaving him with a small bald spot. Can’t see any redness or anything concerning the day after, just want to check that everything is okay.Not pruritic , is on nexgard speactra monthly, also has a tick and flea shampoo and had this fairly recently. Hasn't had skin issues in the past Objective: Bright and nervousDid growl at times but ok with minimal interventionPatch of alopecia on RHS of neck about 2cm by 2cm, skin looks normal, woods lamp shown on area - no fluorsecence,owner pulled on fur around and not caused much more hair lossAll four feet have mild erthyema and saliva staingSkin looks dry Assessment: Foacl aalopecia - infectious ( dermatophytosis ? - unusual in dogs, vs hotspot No fungal assays in hosp and would be hard to get any good smaple from skin Plan: Remove collar Mediderm shampoo with contact times twice weekly for 4 weeks iRec add in EFA, rv inb    Vital Signs    

Reason: Check Skin And NailsAppointment Notes: online bookingNai;l clip - aggressiveUsed towelRec muzzle training    Vital Signs    

Reason: AGs ExpressionAppointment Notes: ACHistory: ScootingExamination: AGs are very small. Perianal area is erythematous and mildly swollen. Assessment: Less likely AGs irritationSuspect skin irritation. Treatment: Trial with ab lotion BID for 7 daysConsent has been given by the client to proceed with this treatment  -  Yes/No Plan: RV if not improving--- 03/05/2024 10:21:22 AM RFD:Examinations - 22/04/2024 13:00:37 PM RFD Deferred: Wait for meds to finish before sending follow up txt - RFResolved - Follow up txt sent - RF    Vital Signs