C09992033 / invoice 10000

Reason: CytopointAppointment Notes: Booked Online: 27/02/2026 14:51:54 PMHISTORY:Hemi presented for routine follow-up consultation. Owner reports Hemi is doing so much better and only starts itching about 1/2 a week before next inj. Previously seen by Dr Rory in October last year with ears appearing in good condition. Owner notes Hemi typically receives injections every two to three months for management.Current meds: noneVaccination: Not mentionedParasite Prevention: Not mentionedPre-existing conditions: Skin sensitivities requiring RC hypoallergenic diet managementAccess to toxins eg. Rodenticide: noneEXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort abnormal due to brachy breed, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: underbite, no mouth pain, dental score (1-4): 1- Abdominal: no detectable pain on abdominal palpation- Rectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: very clean - no signs of build up or irritation, mild irritation in left axial regionLymph Nodes: NSFEyes: NSFDemeanour/Behaviour: not discussedPROBLEM LIST:Ongoing skin sensitivities requiring dietary managementDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Skin sensitivitiesDIAGNOSTICS:NoneASSESSMENT:Hemi presented for routine follow-up for Cytopoint inj. Currently managed with regular cytopoint injections and hypoallergenic diet. This represents injection number three or four of increased cytopoint dose - 30mg. Overall condition appears well controlled with current management protocol.TREATMENT:Cytopoint injection administered at increased dose: 30mg SCDispensed more Otoflush 125ml fortified with 5ml Dexapent for bi-weekly ear cleaningPLAN:Monitor response to current increased cytopoint doseContinue regular injection schedule every two to three monthsHome into owner's careCLIENT COMMUNICATION:Hemi doing really well overall - skin condition and ears are fantastic. Owner advised to monitor response to current increased cytopoint dose and contact if effectiveness diminishes or symptoms worsen.    Vital Signs    Weight: 14.3;       HeartRate: 130;       DentalGrade: 1;       RespirationRate: pant;       Temperature: 38.4;       CRT: 1-2;       MMColour: pink, moist;       BodyScore: 5;