C09985765 / invoice 10000

Appointment Notes: VETSTORIA - Miette (Cat) - Mindy Gill - 0433451959 - Consultation [Clinician : Dr Ainsley Van Egmond (Preferred Clinician)] - Dermatitis flare up  - Web BookingClient name: Mindy GillContact number: 0433451959Email address: mindykrgill@gmail.comPatient name: Miette?????History:Owner presents Miette for an acute skin flare-up, which started approximately one week ago and has worsened significantly over the last few days. Clinical signs include weepy lesions on one leg, lesions on her elbows, and scratching behind her ears. This is a recurring issue, with the last steroid injection administered a few months prior providing good relief. The current flare-up is suspected by the owner to be stress-related, following a brief period of being left alone. An environmental trigger (rain, mosquitoes) has also been suggested by a friend. Miette is reportedly shy and anxious when visitors are present.- Significant history: Recurrent allergic/inflammatory dermatitis. Was underweight with a congenitally bent tail at time of adoption.- Current medications: Neocort - topical application, as needed. Owner reports difficulty with administration.- Appetite & diet:Examination:Vital Signs: BAR, HR WNL, RR WNL, Temp WNL, MM pink, CRT <2sec, Skin tent WNL- Eyes: No blepharospasm, no conjunctival hyperaemia, no epiphora.- Ears: Excoriations noted on the caudal aspect of the pinnae bilaterally. Canals appear clean with no malodour.- Oral: Grade 0 dental disease.- Nose: NAD.- Cardiovascular: No murmurs or arrhythmias.- Respiratory: Clear bronchovesicular sounds on all lung fields.- Skin: Acute moist dermatitis noted on one leg. Erythematous lesions present on elbows. Self-induced excoriations noted behind both ears. Feline chin acne appears quiescent.- Abdomen: Soft, no masses palpated.- MSK: Ambulating normally. WBx4, good ROM all joints. No spinal pain.- Lymph nodes: Submandibular, pre-scapular and popliteal LNs WNL.- Urinary/Genital/Rectal: Not assessedAssessment:Problem List:* Recurrent allergic/inflammatory dermatitis - acute flare* Pruritus with secondary self-trauma* Acute moist dermatitis* Suspected stress-related triggerTreatment:Convenia (cefovecin) injection administered SC.Depo-Medrol (methylprednisolone acetate) injection administered SC.Plan:* Continue topical Neocort application to affected areas if tolerated by patient.* Referral to a veterinary dermatologist for further investigation and long-term management.* Clinical photos to be attached to the referral.Client Communications:Discussed treatment with long-acting antibiotic and steroid injections, noting this combination has been effective previously. Advised the owner to continue topical therapy if possible. Emphasised the importance of a dermatology referral to establish a long-term preventative plan. Owner is in agreement and will book the specialist appointment. Discussed stress as a potential trigger for flare-ups.?????    Vital Signs