C09990716 / invoice 20000

gw's notes:GW prebilled for WJ - billed as per previously dispsendAwaiting approval first before sending sms for colectionAlready in client orders to collect tabO cant afford mroe than 21 tablets,. Gave prices over phone for more than what was dispensed last timeZenrelia working really well for bailey. Recently seen by DL in feb this year    Vital Signs    

Reason: Irritation / SkinAppointment Notes: Booked Online: 08/02/2026 09:19:02 AMBooking Type: Skin, Ears, Eyes or LumpsBooking Notes: Skin irritation Owner Name: Sandy Hendriks Owner Email: weldon_sandy@yahoo.com.auOwner Mobile Number: 0417702183Pet Name: BaileyPet Species: DogWeb BookingClient name: Hendriks Contact number: 0417702183Email address: weldon_sandy@yahoo.com.auPatient name: Bailey  ------- Sms reply: YReason: rash on groin area - had for long time but now spreading to other side. Went to carrara in 23' for skin issue and was on pred and cephClient Present: sandyNurse: cgVaccination: UTDPreventions: NGSDiet: natures godness kibble and, baarf rawCurrent meds & doses: zamipet chews/ tumeric and vit e capsules, apple cider vinegar, coconut oil. Was HPP discussed? Y / NInsurance: Y / N  if yes, Gaponly claim required today? Y / NClient requests +/- concerns:Additional nurse notes: does go swimming __________________________________________________________________________HISTORY:Presenting complaint: Skin issue. Persistent rash on both inguinal skin. Owner reports he is "not happy" and continuously licks the areas. Initially on one side, now bilateral. History of suspected allergic dermatitis. Problem ongoing for approximately 2 years. Owner has tried various supplements with initial but unsustained improvement. Owner reports he is bathed every 4 weeks by a groomer, usually with an oatmeal shampoo. Reports nose and area around mouth feel hot at night, suggestive of a temperature. Last swam in a creek 2 days ago, swims often. Flare-ups seem to continuously occur after swimming. Owner dries him after swimming but notes the creek water is not always clean. On a raw food diet with six different protein varieties (lamb, beef, combo packs).Current meds:NoneUTD with FTW and vacc T - oral 38 EXAMINATION:BCS 8/9Body Condition Score:Overweight. Currently 29kg. Informed initial target weight 25kg. Abdominal:no detectable pain on abdominal palpationIntegument/Ears:Erythematous rash noted on skin. No active pustules or purulent discharge seen. Ears appear clean.Skin around nose/mouth erythematous as well. PROBLEM LIST:- Chronic pruritic dermatitis- OverweightDIFFERENTIAL DIAGNOSIS/DIAGNOSIS:- Environmental allergy (atopy) vs. food allergy.DIAGNOSTICS:NoneASSESSMENT:Bailey presents for a chronic skin condition, likely secondary to an underlying allergy, with environmental factors being the most probable cause. The history of flare-ups after swimming supports this. Food allergy remains a possibility. Examination revealed a rash consistent with dermatitis but no evidence of secondary pyoderma at this stage. He is also overweight, which needs to be managed.TREATMENT:outpatient treatment- Medicated shampoo (Malaseb) to be used twice weekly with a 15-minute contact time before rinsing. To be dried well and a conditioner applied after.- Zenrelia for 2 weeks.- E collar to prevent self-trauma from scratching and licking.- Provided an itch score chart to monitor pruritus levels.- Discussed weight management. Advised feeding for a target weight of 25kg.PLAN:Home into owner's care.- Initiate treatment plan as above.- Discussed food elimination trial using a single novel protein (e.g., kangaroo) or a prescription hypoallergenic diet if the owner wishes to investigate a food allergy component - informed often environmental then food but worth trialing. - Re-check consultation if no improvement or if signs worsen. - If pruritus is recurrent after the initial treatment course, long-term management options such as daily oral medication or a monthly injectable were discussed as future options.CLIENT COMMUNICATION:Discussed the likely allergic nature of Bailey's skin disease, differentiating between environmental and food allergies. Explained the treatment plan, including the importance of medicated bathing with appropriate contact time, short-term oral allergy medication, and preventing self-trauma with a cone. Advised on weight loss, with a target of 25kg. Discussed the option of a food trial and referral to a veterinary dermatologist for intradermal allergy testing if desired. Provided a brochure on itch scoring to help monitor progress objectively. Advised to return if the condition does not improve or worsens. Showed the owner the recommended medicated shampoo.--- 11/02/2026 11:35:48 AM GRM:Examinations - Resolved - sms sent -mon    Vital Signs    Weight: 29;