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Reason: 5Appointment Notes: Booked Online: 05/03/2026 17:08:57 PMBooking Type: Skin, Ears, Eyes or LumpsBooking Notes: Red skin Itchy Skin Owner Name: Alexander MaltasOwner Email: Maltas.alexander@gmail.comOwner Mobile Number: 0426588482Pet Name: PenelopePet Species: DogWeb BookingClient name: MaltasContact number: 0426588482Email address: Maltas.alexander@gmail.comPatient name: PenelopeRecord created by Heidi Health AI - reviewed and edited by Dr EVCHistory:- Penelope presented for ongoing pruritus and suspected food allergies- Previously completed 6-8 week hypoallergenic diet trial with resolution of itching- Systematic food reintroduction trials identified chicken and turkey as allergens- Salmon and Beef appear well tolerated- Current itching episode began whilst trialling turkey kibble. Scratching ventrum, axillae, licking paws and perineum. - Ventrum was very red yesterday but improved today. Pruritus also reducing.- Recent exposure to dead rats at Henson Park 2-3 days ago - rolled in carcass and had rat in mouth- Up to date with flea and parasite prevention, administered early post rat exposureExamination:- No appreciable erythema or lesions visible today.- Photo from yesterday shows moderate erythema on ventrum.Assessment:, Treatment: & Plan:1. Food Allergy with Acute Flare (or possibly atopy)- Confirmed allergies to chicken and turkey proteins (according to O's observations)- Current flare may have been triggered by recent turkey kibble trial but has not resolved with resumption of Anallergenic kibble and beef wet food.- Possible environmental component (atopy) or scavenged food exposure (e.g chicken)- Prednisolone 5mg tablets prescribed - half tablet (0.5mg/kg) SID for 5 days, then quarter tablet SID for 5 days, then quarter tablet every second day for 1 week- Discontinue turkey kibble completely- Continue hypoallergenic and beef wet foods- Avoid meat protein treats except established safe proteins (salmon, beef)- Plant-based treats acceptable - Monitor response to treatment- If itching persists after prednisolone withdrawal whilst on safe foods, consider re-testing with Anallergenic only and/or atopy investigation- Future options for long-term management include referral for immunotherapy and/or Apoquel or Cytopoint if needed    Vital Signs    Weight: 5.0;