C09980185 / invoice 10000

Appointment Notes: Tilley (Dog) - Skin/ear disease [Clinician : Dr Brittany Armstrong (Preferred Clinician)] - Skin flare upHistory:Malaseb on spots every couple daysSkin flaring Went to Port mcquarie & started her on pred thereBlack hawk fish & potato - sensitive? Also cooked offal, veg & rice & coconut oil Been scratching last 5 days mainlyExamination:BAREyes brightEars cleanMouth nadLn wnl Thoracic ausucltation NAD Abdominal palpation NADMSK NADIntegument - better than last visit, however pruritis ++++++++ in consult, very uncomfortable. Patches of erethema ventral abdomen & auxillary region. Lichenification of olecranon area of elbows bilaterallyCytology cocci bacteria ++++++ intracellular & occasional yeast observed    Vital Signs    Weight: 41.5;       

Reason: HaS TO BE SEEN OUTSIDE?Appointment Notes: Tilley (Dog) - Skin/ear disease [Clinician : Dr Brittany Armstrong (Preferred Clinician)] - Skin check and to take biopsyHistory:Finished clindamicin courseBeen away over weekend & lots of swimmingSkin healed beautifully with antibiotic treatmentExamination:BAREyes bright, ears cleanMouth NADIntegument - hair growing back on previously erethematous & angry skin. Today skin is healthy & light pink. Not pruiritic. No broken skin or dermal lesions evident.Swab of auxilla & inguinal region.  Assessment:Bacterial skin infection resolvedPlan:Continue management of skin with weekly malaseb washes & twice weekly chlorhexidine spraysSending off another C&S to IDEXX this time confirm susceptibility of antibiotic Tx    Vital Signs