C10003063 / invoice 10000

Appointment Notes: chat about skin - ab - jess approved the time dont yell at mePresented for excessive scratching/rubbing face on everythingPurulent ocular discharge from both eyesRecovered well previously but os been overseas and P not been bath with malaseb as regularlyGiven cytopoint yesterday, haven started on apoquel yetOtherwise stil eddu wellBARHR: 104 Excessive flakey of skin on the top of head.Exotopian bilateral eyes, inflamed sclera in both eyes Fluo stain: -veEars: slightly gunky, not erd or inflamedCytology: + yeast non budding in both earsSkin: scab noted under the chinExcessive drooling Difficult to examine todayNeeded to sedate examine skinSedated with dom and methadoneInduced with iv alfaxanaCleaned both ears, applied neptraClipped under the neck and under the chestClipped around the paws and under the feetNo obvious hotspot seenSpoke about recurring allergiesWorse during summerPlan is to give cytoppint injection every 4 weeks for the until summer ends    Vital Signs