C09991347 / invoice 10000

Reason: Sores On LegsAppointment Notes: Sores on a few of his legs, present for a few weeks, very irritating.History:O has noticed some lesions on his legs. Dog walker advised likely ringowrmOtherwise well. Occasionally limps on the left forelimbEDUD normal. No CSVDO has neocort at homeExamine: BAR, HR 132, mm p/mEENT: NADCardiac; no murmurResp; eupnoeicIntegumetn; alrge ulcerative dermatitis over dorsal aspect of left carpus and simlar wound on dorsal aspect of left proximal metatarsals/tarsusAssessment: Likely acral lick granulomsPlan: Cephalexin and pred for systemic reactionNeocort and E-collar (O wants to get inflatable from petshop)Recheck in 2 weeks    Vital Signs    Weight: 31;