C09992346 / invoice 10000

Reason: SkinAppointment Notes: Also wanta Traz or something to assist O at home during bath time.Verified: NoHistory:Presenting for: Juice presented for skin condition with pruritus and inflammation, day 5 of treatment with warm showers and minimal shampoo use showing improvement.Examine:Wt: 44-45 kgBehavioural: Required calming tablets given approximately 1 hour before bathing or nail trimmingAssessment:Contact dermatitis with pruritus and inflammation - responding to current treatment, may require ongoing management if allergic component presentPlan:New Meds/Tx:- Short course of steroids to reduce inflammation and pruritus- Medicated shampoo with antibacterial and antifungal properties- Calming tablets: Start with 1/2 tablet, can increase to full tablet as needed, give 1 hour before bathing or nail care. Approximately 5 tablets dispensed- Steroid dosing: 2 tablets morning and night for 3 days, then 1 tablet morning and night for 3 days, then 1/2 tablet morning and night until finishedAdditional Discussion:- If condition resolves with steroids, likely simple contact reaction- If ongoing allergic component present, may develop into chronic condition requiring long-term management- Instructions provided on medication labels for reference    Vital Signs