C09987287 / invoice 10000

Reason: Itchy Skin + Hair LossAppointment Notes: Overdue remindersOR started scrathing at night a lotHas been otherwise well Edfu ok, no c/s/v/fGHC unremarkable except miliary dermatitis at tail base where adult flea seen and scabby lesion on ventral neckSuspect FADOR spot ons make her unhappy? Disc could do flea rinse but risk ongoing flea issueCannot exclude SE however would recc trial nexgard and monitor response To treat environmental also Add in pred to reduce irritation    Vital Signs    Weight: 32;