C09999808 / invoice 10000

Appointment Reason: Cytopoint injection, Appointment Notes: cytopoint + check up  ------- Sms reply: YVerified: NOHISTORYPresenting for: Solo presented for routine check-up and assessment of ongoing allergic dermatitis managementHistorical Conditions: History of allergic dermatitis managed with Cytopoint injectionsV/D/C/S: Recent episode of vomiting that resolved by Thursday, no vomiting since then. Episode associated with eating inappropriate items including chewing sofaSkin: Intermittent licking of feet, gets sores when licking becomes excessive. Currently managed with Cytopoint injections given every 3-4 months with good efficacyCurrent Meds: Cytopoint injections every 3-4 months for allergic dermatitisEXAMHR: 120Behavioural: Overexcited and high energy during examination, making thorough assessment challenging. Behaviour may represent stress response despite appearing confidentIntegumentary: Skin appears pink, particularly on feet consistent with allergic dermatitisASSESSMENTAllergic dermatitis - skin appears pink indicating flare of condition, patient due for Cytopoint injectionAcute gastroenteritis - resolved episode likely secondary to dietary indiscretion, common in Labradors. Associated pica behaviour (chewing sofa) possibly related to abdominal discomfortPLANNew Meds/Tx:- Cytopoint injection administered today for allergic dermatitis managementAdditional Discussion:- Discussed chill protocol (pre-visit anxiolytic tablet) for future appointments to facilitate better examination and reduce patient stress during routine visits like vaccinations and skin checks- Explained connection between abdominal upset and pica behaviour in dogs- Advised monitoring for any return of gastrointestinal signs    Vital Signs    Weight: 31.2;