C09997624 / invoice 10000

Reason: UnwellHistory: Itch score  /10. Has the itch become worse recently?Other medications being used? Eg Apoquel, topical shampoos, Fuciderm/neocort etcTreatment: Cytopoint 0.75ml of 40mg/mlPlan:repeat in 4 weeks, or as necessary. Discuss pododermatitis - dorsal knuck;les are mildly alopaeci palmar and plantar aspect erythematousAntihistamines were ineffectivePlan: Se eprev consult at BalmainReocmmend continue cleaning feet 9physical removal allergens in case is contact)Start cytopoint 30 kg doseConsider apoquel if cytopoint not effective.Due vaccs (C7 end of April).    Vital Signs    Weight: 17.9;