C10003029 / invoice 10000

Reason: Rash On Belly & KneesAppointment Notes: Overdue remindersHistory: Rash and hair loss and pruritusHas had for a while and not resolving.Umbilical hernia, planning for repair at 6moChanged food to fish based to try rule out food allergy. No improvement seen.Up to date on flea and tick preventionEXAMMentation: BARIntegumentary: dermatitis affecting ventral abdomen with alopecia, erythema, and some pustular lesions. umbilical hernia present.Cardiovascular: nRespiratory:nTeeth:nEyes:nEars:nMusculoskeletal:nASSESSMENTchronic pruritic dermatitis with some pustules - Likely allergies but not confirmed. Food allergy trial attempted without improvement but may not have been performed correctly. Environmental allergies possible. Further workup needed to rule out other aetiologiesPLAN- Neocort topical steroid cream BID for 5 days to affected areas- malasseb single treatment, leave on for 10 minutes before rinsing. Monitor for skin sensitivity.Additional Discussion:- Discussed lifelong management likely required if underlying allergic condition- Future treatment options include Cytopoint injections or Apoquel tablets if topical treatment insufficient but will not use now- Proper food trials require strict single protein source for extended period- Dermatology referral option discussed for desensitisation therapy if environmental allergies confirmed- Omega-3 supplementation may help with skin barrier function if condition recurs- Antihistamines generally not very effective in dogs- maybe oral corticosteroids if other treatments failClient Comms:- Monitor for improvement over next few days with current treatment- Can use Neocort cream for future flare-ups- If condition resolves then recurs, may require further workup or medications    Vital Signs    Weight: 5;       

Reason: Potentially Eaten Some Of A Biscuit With Mint And Appointment Notes: chocolate - client found it on the floor so unsure if he has eaten any but wanting to come in. Robyn vetcx   eta: 8.50am. booking ok'd with clinicHistory: O found eating chocolate covered biscuit from the bin Unsure how much he has consumed Has been well until nowUTD preventatives Examine:     Demeanour: BAR    Eyes:n    Ears:n    Dental: deciduous n anatomy          Gingivitis:    0/3         Calculus:     0/3    Skin/Coat: n     Cardiovascular: n    Abdominal:n    Musculoskeletal: n     BCS: 5/9Treatment: Induce vomiting 1 tablet of apomorphine diluted in water for injection. Given at 0.123ml/kg 0.5ml solution IV Large amount of ingesta produced - minimal chocolate found Plan:Advised O to monitor but no further action required --- 27/01/2026 8:40:32 AM KA:Flea - Skipped on 29/12/2025    Vital Signs    Weight: 4.1;       

Reason: 2nd Puppy Vax - Jar Appointment Notes: Overdue remindersReason:  Annual C5 vaccination and physical examinationNo concerns, eddu normal Current Medications and Doses:Subjective: Eyes-   n                        Ears-   n                          Resp-   n                        Skin- n Teeth- mild lingoinverted canines - bbetter than previous - ball therapy handout provided Body Condition-   4/9                      MM/CRT- pink, <2CVS-    NMNATwo testiclesSmall nn reducible umbilical hernia Plan: Preventatives:- Vaccines- C7Heartworm- proheart UTDWorming- drontal Fleas---- 13/01/2026 8:35:46 AM JW:Flea - Skipped on 29/12/2025    Vital Signs    Weight: 3.7;       MMColour: pink;       HeartRate: 140 ;       CRT: <2 ;