C09980874 / invoice 10000

Reason: SkinAppointment Notes: Paws App Details:Booking Type: ConsultationBooking Notes: Continuous irritated and rashy skin.Pet Does your pet have more than 2 health concerns you'd like to discuss, or is this a complex case?: No - we'll be discussing 1-2 standard concernsHistory:Presented by Ashlee today Sake has some scabby spots on him Was advised to use medicated shampoo and that seems to work for a few dyas then it flares again and this is an ongoing cycle Will notice he is itchy +/- scabbing particularly lower belly + licking. Then will do the medicated shampoo and that will help clear it up for 3-4 days and then it will be back to a similar presentation Worming/Heartworm/Flea control status: monthly chew given last night 02/03/2026 Vaccination status:not sureNutrition: ivory coat biscuits + noodz dog food / my dog wet foodExamination:Skin: ventral abdomen : little red pin point lesions over ventral abdomen Redness around eyes bilaterally Assessment:Suspoect contact allergy vs atopy vs otherTreatment:Trial cytopoint more regularily to control flaresCan continue malaseb wahes bi weekly. If complete control with cytopoint may not need to continue washesRecommended hypoallergenic diet if not controlled with cytopoint long term Cytopoint 10mg given SCFree cytopoint brush provided Plan:    Vital Signs    Weight: 5.5;