C09980706 / invoice 10000

Appointment Notes: ------- Sms reply: YHistory: Around christmas owner washed her and noticed her armpits were a little redThis has worsened over the last 1-2 months Now red on her paws and licking them, axillas are affected and hindlegs in the groin region PP not utd, OR not done in the last few years, not on any medications, no recent bloods, No coughing, no vomiting or diarrhoeaEDDU ok, no v or D+Examination: Right axilla very red and irritated, thick brown material/ keratin plug expressed from clogged pores in this region Clipped and cleaned this region, underlying skin erythematous Clipped hair in groin region and other axilla Ventral abdomen, mild lick staining present, no irritation Paws - mild pododermatitis, no discharge, MM P+M, Bcs 7/9, advised weight loss, Teeth grade 2 dental, moderate tarter accumulationLaboratory: Assessment: Atopic dermatitis, underlying food vs environemental allergy, Parasite, Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Mallaseb bathing, paws axilla and groin, once weekly for 2-3 wks then evry 2 wks afterwards ongoing Chlrohex bathing right axilla for 7 days Cephalexin bid for 7 days as secondary infcetion in right axilla, advised if any AE of medication to stop and revisitRecheck in 2 wks to ensure issue is resolving NO pp utd , advised HW AG test for both dogs and start pp Owner had other dog in but no consult and not enough time, advsied bring in for consutl, to investigate wheezing, 12 yr old corgie, no PP, EDDU normally, otherwise wellPlan:    Vital Signs    Weight: 16.8;