C09998520 / invoice 10000

Reason: Rash In Ear, Itchy, Rash On TummyAppointment Notes: khHistory: Itchy againWorse than beforePhysical Exam: Marked erythema ventral abdomen, ears, legaHives present on skinSkin dry; not moist/exudativeOtherwise PE unremarkableAssessment: Allergic rxn + chronic skin issuesCytopoint today and antihistamine at homeConsider pred INI    Vital Signs    Weight: 31.9;       

Reason: Cytopoint & Nails Appointment Notes: MDJL> given SC, very good for injectionand nail clipping. Loves treats.    Vital Signs    

Reason: Skin - Cytopoint  & VaccAppointment Notes: mdSubjective and History: Routine vaccination.Doing well, no health problems reported. Bright, alert and responsive. Eating, drinking, defaecating and urinating normally.Atopy. Responds well to cytopoint Diet: chicken mince, turkey mince, sometimes porl . Peas, pumpkin. RC derm Not UTS simparica trio Medications: Cytopoint 40mg Physical Exam: BARMM pink moist, CRT 1-2s Grade 2 POD. Mild calculusCardio/resp fine Erythema ventral belly Cut on ventral paw pad LHL Assessment: HealthyFine to proceed with vaccination1. Atopy. Managed well with cytopoint. Last one was 5 months ago. Treatment: Routine vaccination. KC injectable Lepto 2 initial Cytopoint 40mg Plan: Discuss routine health care.Ongoing cytopint prn Consider bathing medidmerm shampoo + conditioner    Vital Signs    Weight: 30;