C10000692 / invoice 10000

Appointment Notes: Booked Online: 06/03/2026 21:40:32 PM- NEW CLIENT -Booking Type: UnwellBooking Notes: Injured foot/legReason: History: OR front L foot has been sore, will not let O take a look, for the past 3 days, O worried about the middle nail and the nails too long O also wants to chat about allergies - chews paws excessively, ventrum is sometimes itchy with erythematous rash and ears can become red. No ear scratching or head shaking at the moment. Sometimes the eyes get weepy, O uses ointment unsure of name, from previous vetUTD parasite controlDiet Optimum biscuits fish, sometimes chicken. Sometimes cooked meats that are leftovers. O has noticed allergy issues for the past 12 months and appears seasonal. Examination: BAR, mm pink moist CRT <2sHR 120bpm normal rhythm no murmur heardRR panting normal lung sounds Abdomen comfortable on palpationLNs NADAssessment: Both ears stenotic and inflamed with moderate exudate. Cytology cocci +++ yeast + bilaterallyMild erythema between all paw pads, normal ROM no joint effusions, no pain elicited on palpation, no lameness in consult. Treatment: Consent has been given by the client to proceed with this treatment  -  YesTapering course of pred - discussed side effects PMP BID 7d Trimmed nails - very difficult, minimal was achieved. Plan:Had indepth discussion about allergies and workup - keep UTD parasite control, 6-8 week food trial, skin testing, allergy medications etc.    Vital Signs