C09987744 / invoice 10000

Reason: Skin IssueAppointment Notes: Overdue remindersAttendees:History:Eating drinking urinating defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessItching and scratchingBright Alert ResponsiveBody condition scoreSkin lesions and pruritusNeocort but seems ineffectiveExamination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade Nasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – no discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HRLungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negativeAbdomen – comfortable on palpation, bladder normal, no masses palpatedLimbs – all good range of movement, no swelling or pain on palpationNeck and spine – no pain on palpationSkin – Erythema and epidermal collarettes axilae and dorsumNails – fineAnal glands – not scooting/expressedTemperature – Genital region - no masses or swellingsDiagnosis: Allergy / Food / Contact allergy / AtopyTreatment: Cephalexin BID 2 weeksApoquel trialINI swab for C&SPlan: Reccommend fish oil 1000mg/10kgDiscussed steroid vs apoquel/cytopoint vs specialist/IDATFUC 5 days    Vital Signs    Weight: 12;       

Reason: Vaccs. AbAppointment Notes: Overdue remindersAttendees: Cara History: Presents for vaccinations. Eating drinking urinating defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert ResponsiveBody condition scoreExamination: Oral cavity – mm pink moist crt 1s, tongue fine, palate fine, no ulcerationsTeeth – grade 0Nasal planum – normal arhitecture, no crusting, no dischargeEyes – eyelid conformation normal, normal PLR, no chemosis, no dischargeEars – no discharge, no erythema, pinna fineLymph nodes normalHeart – normal regular rythymn no pulse deficits, no murmur HR 120 Lungs – clear sounds bilaterally, no crackles or wheezeAbdomen – comfortable on palpation, bladder normal, no masses palpatedLimbs – all good range of movement, no swelling or pain on palpation, no proprioceptive deficitsNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  Nails – fineAnal glands – not scootingGenitals -  normalVaccinate BbPiBatch: 2528102Expiry: 06 - 2027Proheart SR12injectionUTD with worming    Vital Signs    Weight: 11;       

Reason: Milbemax Intestinal Worming    Vital Signs