C10003346 / invoice 10000

Reason: Skin IssueHISTORY:Scratching ears, muzzle and paws for approximately one week. Initially ear scratching noted at previous health check, now progressing to muzzle involvement with intense scratching behaviour causing self-trauma.Has previously responded very well to cytopoint, last treatment november 25EXAMINATION:Demeanour/Behaviour: BAREyes: NormalEars: NSF, no inflammation or discharge presentCardiovascular: cardiac auscultation normal, HR 120, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, RR 24, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normallyGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): grade 2- Abdominal: no detectable pain on abdominal palpation, no mass effect or fluid wave- Rectal: not performedReproductive: NSFIntegument: NSFTemp 38.1ASSESSMENT:Pruritic dermatitis affecting ears, paws and muzzle with progression over one week. Dental disease grade 2 requiring attention.TREATMENT:Cytopoint injection administered - 10mg dose confirmed and given.    Vital Signs    Weight: 4.2;