C10003407 / invoice 10000

Reason: Walk In Chewing Bum. Missing FurAppointment Notes: Overdue reminders shHistory: Gets tick/flea worming on line.Chewing under tail + quite itchy generally.Also licking paws.Physical Examination: BAR. Colour & refill good.Sl tartar. Eyes and ears OK at the moment.NAD thorax or abdomen.Moderate erythema ventrum, mild rash.Area under tail: very inflamed & evidence self-trauma.Express anal glands: not much material, sl purulent.Assessment: Suspect underlying allergy (atopy), exacerbated by AG's.Laboratory: Skin cytology: no obvious infection at this stage,Treatment: Apply neocort bid to area under tail.Short course pred (+ continue antihistamines).No antibiotics at this stage but will reassess if nec.Plan: Recheck as nec.Consider cytopoint if ongoing.    Vital Signs    Weight: 8.7;       HeartRate: 120;