C09984506 / invoice 10000

Appointment Notes: skin tags & assessing limping Wanting to book procedure for removal of skin tags JWIn with Rasika r1History:Last 3-4 days has D+No change to diet Removed from kibble, feeding boiled chicken now - Not helping EDU normalOn elbow has skin irritation BEEN to MVSC specialist - applying ear drops too both ears to reduce swelling and have video otoscope at the end of the monthhas da for last 3-4 day - sloppy puddles eating wellchanged diet to boiled chickennot on oral medications, but rubs ears after meds applied then licks meds licking at right elbowOBJECTIVEB&A pea size intradermal mass left dorsal mid lumbar spine lobulated callus on right elbow approx 4 cm diam , smalller lesion left ellbow.abdom palp - generally relaxed but reacts to caudal deep palpn.ASSESSlikely primary bowel upsetddx secondary other condition (has been a year since last blood test) TREATneocort for elbowbland diet for GI probiotics for  GI PLAN if  no better then need full bloods 03/03/2026 11:36:23 AM JHE:Requested JW process pet insurance claim    Vital Signs    Weight: 47.5;