C09998833 / invoice 10000

Reason: chews feet 

History: chews feet + 
 no other probs reported DUDE active 

Current medications: no

What Preventative health cover is being used and do you need to purchase any today? 
Worming: UTD
Flea control: UTD
Heartworm Prevention:
(TWP discussed: Yes/No)

Examine: 
Mentation: BAR
BCS   5+/9      
MM:       P+M           CRT: 1-2s
HR:     112           RR: WNL / no adventitial lung sounds 
Dental Stage:0
Temperature: NE
Gastrointestinal: NAD on palpation – soft , relaxed no palpable masses
Integumentary & lumps (measurement, location): all 4 feet mild interdigital dermatitis plantar/palmer surfaces 
Musculoskeletal: NAD – all joints and limbs – Rom WNL, no lameness,, no crepitus , pain or instability 

Assessment:
allergic / atopic pododermatitis 

adv neocort ( O has) 
cytopoint 30mg 
adv pulse / odd dose of pred as required 

Hey Brieanna, 
Just following up about preventing ulcers in Milo ongoing - the name of the lubricating gel is called Viscotears. Other than that, there's not much else in terms of prevention - we can also recheck Milo to make sure there are no facial folds or eyelashes are touching his eyes (but we haven't seen that in the past). Let me know if you have any concerns, Lucas @ Vetwest (no reply) 

Went to drovers vet on sunday for eye ulcer - O says was large superficial ulcer on R lateral eye 
On carpfrofen and oitment (which O got script for, assume it was chlrosig) 

PE: 
Moderate scleral injection of R eye, mild epiphora
L eye NAD 

Fluorscene negative 

Assessment: 
Healing corneal ulcer (ddx infection vs irritant vs traumatic) 

Plan: 
Continue meds for another week to settle down ocular inflammation and ensure complete healing of ulcer 
O asking for preventino of ulcers ongoing - discussed environemtnal changes but LA to follow up with medical prevention if possible, recommended viscotears 
Advised recheck if eye still inflammaed and red, otherwise ok to monitor since fluorscene negative today