C09993027 / invoice 10000

Reason: Patches On BodyAppointment Notes: NMHistory:Hair coat seems patchy and not as furry as beforeLicking at front legsSlight scabbing across dorsum, lips and antebrachium Otherwise well Examination: BAR. Friendly HR: 132, RR: pant. MM: pink moist, CRT:<2s T: 38.1Ears eyes oral cavity nsfChest sounds clear. Abdo palp palp nsfIntegumentary:Hair coat thinning and shorter overallScabbing across dorsum, mild on lip foldsSaliva stain on antebrachium bilateral Tape prep - cocci ++DdxUnderlying hormonal/endocrine/systemic v other organ dysfunction v allergic leading to haircoat changes+ secondary infection Plan: Taken bloods for wellness Inhouse free catch UAUSG: 1.039 Ph: 8.5Trace protein Sediment nsfTreatment: Cytopoint 40mg scNoroclav 500mg po bid for 7 days Bravecto PO Wait on bloods and assess response to cytopoint May need further skin testing - c&s, biopsy V referral for dermatology    Vital Signs    Weight: 38;       

--- 16/01/2026 16:52:05 CJC:CC STO Lip flaring up again Suspect lip fold dermatitis - primary v secondary ie allergy Plan:Short term: Cephalexin 1000mg po bid for 7 days Apoquel 16mg po bid for 7 days    Vital Signs