C09999232 / invoice 10000

Reason: ScratchingAppointment Notes: Paws App Details:GAP?Booking Type: ConsultationBooking Vet: - Any -Booking Notes: Jack Scratching a lot and may have bugs.Owner Is your pet(s) insured?: YesHistory: past week has been sneezing  about 5 times a day, no obvious nasal r ocular dischargeAlso scratching around neck and head and ears daily past weekEDDU normal, no v/dUTD advocate monthlyIndoor onlyHad fleas as kittenExamine:Enlarged submandibuar LNsProblems:1. Marked gingivitis - likely still teething2. Sneezing3. ScratchingEar cytology: occasional clumps of yeastTrimmed nailsPlan: advocate fortnightly for 3x treatmentsClean environment/beddingDermotic SID 7 daysRecheck in 2 weeks - discuss possible diet trial vs symptomatic treatment    Vital Signs    Weight: 2.8;