C09980607 / invoice 10000

Reason: Recheck For Apoquel Appointment Notes: Overdue reminders  ------- Sms reply: YHistory:Environment (Indoor/Outdoor/Recent changes/Other Pets): Indoor/OutdoorDiet: Pedigree Kibble + Wet Food + BoneVaccination Status: UTD, overdue for leptoParasite Prevention: UTD Simparica TrioCurrent or Recent Medications: Apoquel Previous Medical Hx: Skin Allergies, EarE/D/D/U: NormalC/S/V/D: NoneExamination: BAR, nice girl very excited, okay for exam, apparently does not like ears touched - was okay today. Got bitey with nails todayEENT - No nasal discharge. Ears clean and dry. Eyes clear and visual OUPLNs - WNLsSkin - Coat clean, skin tent normal.Thoracic Auscultation - NADAbdominal Palpation - NADTreatment:Nails clipped - got very flighty, tried to snap - had to muzzle, only able to get 3 paws done todayPlan: Continue using apoquel for skinRecommended trazodone + gabapentin prior to nail clip - O declined today, will call to get some dispensed prior to next visit    Vital Signs    Weight: 30;