C09998676 / invoice 20000

Appointment Notes: Small hives have appeared on side of body again Only a couple & have not gotten worse today O aware if getting worse need to go to ED In with Gilda in room 2History:Went well after the medication last time, hives cleared up Yesterday they came back Hasn't been scratching himself with his paws, but does rub his back on the ground or underside of the bed No facial swelling, no difficult breathing, no vomiting Diet - prime 100 SDP wild boar or kangaroo, capsicum, ground sardine topper, sprinkle of cheese Occasionally will give him a piece of chicken or an egg Whimsies dental chews daily, occasionally some savorlife dry foodL eye is often a bit watery, no mucoid dischargeNexgard spectra monthly Gets groomed by Jims dog wash, had a groom just before the last time he developed hives a week ago. Have used them before though and no reaction. Using hypoallergenic detergent to wash bedding Objective:BAREyes/ears/nose - nadMMS pink and moist, CRT<2Oral exam - moderate tartar on all teeth, no gingivitisThorax - nadAbdo - nadSkin - small hives over trunk, not as several as the other day, no hairloss, one small scab on dorsum otherwise no wounds or dischargeAssessment:Urticaria Plan:Discussed possible underlying causes (food allergy, environmental allergy, insects, other)Owners can't pinpoint anything atm that could be the cause, no recent changes they are aware of. Treat with chlorpheniramine BIDIf reoccurring frequently, recommend trialling elimination diet    Vital Signs    Weight: 8.62;       

Appointment Reason: Check Skin, Appointment Notes: Archie (Dog) - Illness [Veterinarian : Dr. Liliana De Giusti(No Preference)] - I believe he has hives - Web BookingClient name: Gilda ZapponeContact number: 0412684398Email address: gilda_rey@hotmail.comPatient name: Archie Original Appointment Type: Illness23/2  Tried to phone O to get more details. Went to a recording?  JHO called back - hx over the phone:Last few weeks sneezing a lotOn Saturday noticed bumps on skin (hives?)Gave antihistamine on SaturdaySneezed out a grass seed?Still got bumps on skin, though less pronouncedOtherwise well in himselfWas originally booked for 24/02 - recc to be seen todayin with DomenicHistory:Had hives develop over the weekendHasn't been scratchingWas sneezing quite a lot Sneezed out a grass seed then sneezing has subdued No previous issues with allergic reactions/hives UTD with parasite control EDUD normal Objective:BARBarking a lot but allowed examMMs pink and moistEyes/ears/nose - no ocular or nasal dischargeOral exam - no lesions or FB seenThorax - nadAbdo - nad Skin - small hives along enture trunk. - no erythema, no open lesions, no sign of fleasAssessment:Hives - suspect allergic reactionImprovingPlan: Trial anti-histaminesIf hives not resolving, if sneezing recommences or if becoming pruritic then RV    Vital Signs    Weight: 9;