C09989830 / invoice 10000

Reason: Skin- licking pawAppointment Notes: mhHistory: Licking at RHL in the last few days No overt lamenessOtherwise well Examination:BAR. Friendly HR: 120, RR: 42. MM: pink moist, CRT:<2s T: 38Integumentary:RHL Ulcerated lesion at base of toes between digit III and IV Necrotic tissue centrally Pododermatitis Ddx Ulcerated lesion Reactive v infiltrative  + secondary infection v primary Pododermatitis likely secondary to licking Treatment: Cephelaxin 900mg po bid for 7 days Bacticortin b lotion on skin between paw pads (not ulcer) bid for 7 daysWound Lavage - 0.05% Chlorhexadine  topical clean at ulcer site bid for  7 daysReview in ~7 days, at synovan, beransa boosterEarlier if neededTo follow up with cytology, c&s, biopsy if indicated    Vital Signs    Weight: 29.5;