C09999248 / invoice 10000

History:Due for Cytopoint injectionEDUD normally no v d or cO has no other concerns** DOES NOT LIKE INJECTION GIVE LICKY MAT AND RESTRAIN GIVE INJECTION IN FLANK DID TRY TO BITE EVEN WITH LICKY MATExamination:T: 38.7P: 88R: PantingTreatment:Cytopoint 30mg given SQ in R flank Batch:806984 Expiry:10/2026Plan:1. Next Cytopoint due in 1 month time with nurse2. RV with vet required 04/2026

Vet: NW Nurse: LMcHistory:EDUD normally no v d or cDiet: RC adult kibble and treatsMedications: none, just cytopoint inj when has skin rashVaccination: C5 UTDParasite preventatives: NGS UTDBehaviour: anxiousLicking front paws all over more than usual and groomer thinks there is a yeast infection, O thinks it has gotten worse over last few weeksWould like cytopoint as he is itchy and was last done in JulyHas never had ear infection, occasionally shakes head O thinks due to collarO dpesn't think he has ever needed malaseb bathsExamination:BARCardiovascular: HR 120bpm, no murmur, or arrhythmia, femoral pulses=HRMM pink, CRT <2Respiratory: WNL, normal respiratory noises, no nasal dischargeOral: NSF, G1 dental no gingivitis or recession, limited oral exam as growledEyes: clean and clearEars: clean and clearIntegument: toes aren't red but there is some build-up of discharge in betweenAbdo palpation: soft and comfortableMusculoskeletal: NADPLN: WNLUrogenital: N/ARectal: N/AT: not takenBCS: 5/9Assessment:Interdigital discharge on front pawsPruritisTreatment:30mg Cytopoint (batch 766757, exp 12-2025) inj s/c - doesn't like needles, gave SPD chicken/rice licky mat and was okAssessment & Plan:1. Mild yeast infection of paws- The likely cause is a reaction to yeast, leading to paw licking.- Foot baths with an antifungal shampoo twice weekly for four weeks, then as needed.- Soak paws for ten minutes in water with shampoo. Rinse and apply Aloveen conditioner, which can be left on. Ensure owner has Aloveen conditioner at home.2. Developing intolerance to vet visits- Suspected developing anxiety related to vet visits and injections.- A note has been made on file to use a lickimat for future Cytopoint injections. The option of oral medication as an alternative to injections was discussed if stress levels become too high. Vet visit required in 6 months, ok for nurse Cytopoints until then

Vet: BC Nurse: LMcHistory:EDUD normally no v d or cDiet: RC adult kibble and treatsMedications: none, just cytopoint inj when has skin rashVaccination: due C5Parasite preventatives: Advocate UTDBehaviour: anxious, bit mouthy when listen with stethoscopeHere for vacc, no concernsExamination:BARCardiovascular: HR 90bpm, no murmur, or arrhythmia, femoral pulses=HRMM pink, CRT <2Respiratory: WNL, normal respiratory noises, no nasal dischargeOral: NSF, G0 dental no gingivitis or recessionEyes: clean and clearEars: clean and clearIntegument: normal skin and haircoatAbdo palpation: soft and comfortableMusculoskeletal: NADPLN: WNLUrogenital: N/ARectal: N/AT: not takenBCS: /9Assessment:NSF on PE ok to vaccDon't want any further weight gainMouthy but really good if o distracting with treatsTreatment:Nobivac Flex DHP (batch 2508503, exp 02-2027)Nobivac Bb/Pi (batch 2505002, exp 10-2026) inj s/cPlan:1. KC vacc due 8/9/26 and C5 vacc due 8/9/28