C09997042 / invoice 10000

Reason: Results Pls - LOAppointment Notes: O called yest requesting results . Let her know you need to read the report and will try and call her sometime todayFlamazine - PC has ordered awaiting arrivalO confirmed ok with cost--- 06/03/2026 15:14:54 CP4BOVA meds dispensed plus anti fungal script Request for Supply of Prescription MedicationDate:                             06/03/2026Client Name:               Mrs  Helen  Verschuur                                        63 Edinburgh Road                                        LILYDALE VIC 3140                                       PH:  Mobile	0417 324 819Home	9728 2070Email	helenavers65@gmail.comPatient Name:          Bear  #7880203Species:                    dogGender:                     Male DOB:                          18/08/2017Please supply the following to Mrs Verschuur for the express purpose of treating Bear# of items Dispensed: 20 capsulesRx:	Itraconazole 100mg Directions:                 Please give TWO (2) capsules once daily on Mondays and Tuesdays ONE REPEATKEEP OUT OF REACH OF CHILDRENFOR ANIMAL TREATMENT ONLYVet Signature: ………………………………………….Vet Name: Dr Paige Cross# # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # #    Vital Signs    

Reason: IDEXX Culture: > 1. Pseudomonas: uniformly resistant to  Amoxicillin, Amoxicillin/clavulanic acid, Cephalexin, Ceftiofur, Cefovecin, Chloramphenicol, Neomycin, Florfenicol, Tetracycline, Doxycycline, and Trimethoprim/Sulfa. This bacteria may develop resistance during prolonged therapy with all antimicrobial agents. Therefore, isolates that are initially susceptible may become resistant within 3 to 4 days after initiation of therapy> 2. Methicillin resistant S. Schlerifi                                                            Isolate 1      Isolate 2      Marbofloxacin                                      S  <=0.5       S  1           Florfenicol                                            S                             Inducible Clindamycin Resistance                  Neg         Doxycycline                                                           S  <=0.5       Trimethoprim/Sulph                                                S  <=10        Clindamycin                                                            S  0.25        Enrofloxacin                                                            I  1           Erythromycin                                                          S  <=0.25      Penicillin                                                                R              Amoxycillin Clavulanate                                         R              Cefovecin                                                              R              Cephalexin                                                             R       INTERNAL MEDICINE > Pseudomonas is often an opportunistic infection agent > E. Cone on for silver cream PLAN1. Recommend referral for dermatology 2. Malaseb washes BIW 3. Silver cream to affected area daily BID 4. Swap to Zenrelia for skin comfort when run out of apoquel --- 04/03/2026 14:06:41 CP4Is ok in himself, infection still present grossly - looks about the same, and has an odour to it.Warned re complicated case and recommend referral Awaiting consult with Zoetis (has been booked) Malaseb BIWDry well Pyohex SID Have ordered Flamazine BOVA INI will swap to blach bath    Vital Signs