C09987007 / invoice 10000

Reason: Correct File AWOwner in charge of treatment: EdoardoHistory: EDUD all normalHistory of skin allergies, seen at a previous vet for this. Has had Cytopoint beforeHave a cream that they use at home, and naturopathic powder in foodRemedies usually work okay, but lesion has appeared and is worsening on cranial aspect LHLDoes lick at front paws as wellExamination: Mentation: BAROral: Dental grade 2/4, moderate calculusEars: WNLEyes: WNLCardioresp: Regularly regular rhythm, no murmur auscultated. EupnoeicGI: Abdomen soft and comfortable on palpationUrogenital: Not assessedSkin: 4cm diameter region over cranial L metatarsals, shallow erosion with slight weepiness. Lick staining of fur between digits of front pawsLymph nodes: WNLMusculoskeletal: WNL, not assessed in detailNeuro: WNL, not assessed in detailBehaviour: Excited and hyperarousedAssessment: Allergic skin disease + self trauma to LHLTreatment: Consent has been given by the client to proceed with this treatment  -  Yes30mg Cytopoint administered SC between scapula bladesPlan:Discussed Cytopoint vs oral options, O keen to proceed with injection todayRecommended Malaseb to help resolve more exacerbated lesions, O not interested at this stageAdvised may need to use e-cone for a few days to break licking cycle INI    Vital Signs    MMColour: PM;       Weight: 23.5;       HeartRate: 120;       BodyScore: 5;       DentalGrade: 2/4;