C09990692 / invoice 10000

Reason: Rash On SkinAppointment Notes: EMPresetned rash on ventral chest regionNoted some crustinessEDUD nroaml no vordItchy in generalNo other concernsCytopoint 2 weeks ago, eye all cleared outExamination:BARMM:PM CRT:<2sEENO:wnlHR:120 wnl RR:20Skin: noted some comodones and curstiness on ventral chest region, no obvious erythemaMSK:WnlABdo: cofmort on pal wnlAssessment:Irritated skinAllergy base vs othersNo overt infectionTopical vs oral treatmentPlan:Discuss with O about skinElected medication, pred tappering courseRec malaseb wash ocne a day for 2 consecative days.INI once meds finish recheck needed    Vital Signs    Weight: 17.1;       

Reason: Gunky EyesAppointment Notes: EMHx:Gunky eyesFew daysNothing appliedSome squintingAll else okSome general itchiness. WOuld like a repeat cytopoint inj todayPhy:Bright,. Nice dogH/l okGained some weightNAD abdomenMild to moderate bilateral conjunciotvitisF-veDdx - allergic/rubbing, other Tx:Acute mild to moderate bilateral conjunctivitis.EC-hasIf no better/worse, recheck    Vital Signs    

Reason: Check Paws Appointment Notes: tfPresented for both FL sorness as got abration on concrete on xmas day (3 days ago)EDUD nroaml no v ordNo other cocnersHas been claning with saline and socks onNo meds atmExamination:BARMM:PMCRT:<2sDental:1/4HR:132 wnl rR:20HyperexcitableABdo: cofmort on pal wnlMSK:wnl no fully assessedSkin: wnl in general, no pruritis reproted Both FL paw palmer side of main pawpad noted skin flap, healling well underneathNo discharge or pus notedMild soreness on touchAssessment:Abration on both FLHealling, no open oozing wound nor dischargeHome care medication management vs sx interventionPlan:Discuss with O about wounds on both FLGiven current state is healling, no AB indicatedDispensed meloxicam  1ml SID to reduce inflammation so to discourage lickingCone on all time till skin flaps are offSuggest healling might take up to 2 weeks.Recheck earleir if cocnern, no running and socks on reduce abration.    Vital Signs