C09985469 / invoice 10000

Reason: ItchingHistory:Constantly chewing at pawsDog ranch doesnt do it bc distracted Wakes him up at nightFace has been good Bloody scabs Prime100 box and roll - kangaroo and pumpkin past week or so + big dog+ raw and freshBought bigdog wet sensitive Normally on blackhawk dry - bought sensitive skin and stomachSardines twice a weekWeeks now Chlorhex twice daily and hydrocortisone creamShampoos nothing - got bad rash when washed at petbarn Diet:Worming:Heartworm:Flea/tick prevention:Vaccinations: Current medications:Examination:Temperament: (°C): ***Cardiovascular: HR: ***, no murmurs or arrhythmias, femoral pulses strong & synchronous, oral mucous membranes pink & moist, CRT 1 second.Respiratory: RR: *** Eupnoeic, no crackles/wheezes on auscultation. Oral exam: no signs of periodontal disease. No fractures, gingivitis, periodontitis, or odour. Dental grade ***Eyes: WNL – No pain, discharge, erythema, or opacity. Ears: WNL – No inflammation, discharge, erythema, or odour. Nose: WNL – No discharge or erythema. Patent nares with no stenosis Peripheral lymph nodes: WNL – Palpated with no obvious abnormalities Integument: Full coat, normal skin tent. Abdominal palpation:  Palpated with no obvious pain, tension, or abnormal structures.Gait: Readily ambulatory, no ataxia or lameness.Musculoskeletal: WNL  - Able to right, rise and ambulate without difficulty. BCS 5/9.Neurological: Mentation & responsiveness appropriate, full exam not done.Urogenital: WNL on external examination. Rectal exam: soft normal faces /  Not performed.Current problems:Assessment:Plan:Client communication:    Vital Signs