C09995529 / invoice 10000

06/03/2026 REASON: Limping + skin flare up
Nurse: SP
Presented by: Barry
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SUBJECTIVE / HISTORY: 
Lump noticed and has gotten bigger
Dandruff noticed on coat when going for a walk last night
Using Simparics trio administered 13th of every month
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CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
Pentosan
Gabapentin 100mg 1 tablet SID 
Stilboestrol 1mg 1 tablet every 5-7 days
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OBJECTIVE / EXAM:
ASA Status (1-5): {__}
BCS (1-9): {__}
DS (0-4): {__}

T: -
P: 100
R: n

APPEARANCE/DEMEANOUR: BAR, pacing in room
SKIN & COAT: {__}
EARS: n
EYES: n
ORAL: {__}
MM: Pink, moist
CVS: Normal rhythm
RESP: Lungs clear
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n

n : Normal     - : Not Examined
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ASSESSMENT: 
Problems:
{__}

Ddxi:
{__}

Further Procedure & Diagnostic Needs [Client Response]:
{__}

Medication:
Panadol dose given 
Apoquel 5.4mg 1/2 tablet + 16mg 1/2 tablet SID (x)

Ongoing medication prescriptions? Renewed prescriptions: {__}
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
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PLAN / CE: 
Rec 1 week how is limping and skin going? INB rev
Finalised by {__}
Rec = Recall     Rev = Revisit     Rem = Reminder