C09979734 / invoice 10000

Reason: Skin Rash- Any VetAppointment Notes: Overdue remindersVerified: NoHistory:Presenting for: Leo Shah, a 1.5 year old male dog, presented for a 4 month History: of excessive scratching and biting at himself, particularly affecting the ears.Diet: - Recently changed from dry food to new food 2 weeks ago - Eating and drinking normallySkin: - Scratching and biting at skin for approximately 1 months, predating recent diet change - Particularly affecting ears - Dry skin, no discharge noted Examine:Behavioural: Cooperative during examinationEars: Erythema and irritation present, localised inflammation notedIntegumentary: Evidence of self-trauma from scratching and biting, particularly around earsAssessment:Pruritic dermatitis - likely allergic in nature with localised ear irritation secondary to self-trauma. Rest of skin is normalPlan:New Meds/Tx: - Short course of steroids: full dose morning and evening for 4 days, then half dose morning and evening for remainder of treatment - Topical anti-inflammatory spray to be applied directly to affected areas including inside ears and red/pruritic areasDiet Recs: - Continue previous diet as patient tolerating wellAdditional Discussion: - Discussed neutering procedure - can be performed at any time for large breed dogs once fully grown - Pre-operative fasting required (no breakfast day of surgery) - Client to contact reception for pricing information regarding neutering    Vital Signs    Weight: 31.9;