C09985051 / invoice 10000

Reason: Suspect Spider BiteAppointment Notes: Treated at home but not entirely resolving. KCSubjective: Attacking around on rump.  Bleeding.  Did form a scab but then she removed it.Tried anticeptic cream and wound healing ointment, quit itch shampoo.Qiuiet and miserable.Been using dermotic in R ear for past 4 days.Objective:Dry but very red hot spot lateral R tail and rump.Small area  approx 1cm diam full skn thickness wound.Clipped and cleaned.Expressed AGsHeart and lungs OKR ear inflamed pinna and canal, no obv d/c.Assessment: OE allergic R earHot spot R rump/tailPlan: Opted oral meds for hot spot as hating having area touched.Dermotic for R ear.    Vital Signs    Weight: 21.2;