C10004483 / invoice 10000

Reason: Cytopoint Inj CCADAppointment Notes: Overdue reminders  ------- Sms reply: yHistory: - Presented for Cytopoint injection for pruritus. Last injection was July last year. Owner reports licking and biting, with some hair loss. - Otherwise EDDU normal no v/d/c/s - lost 1 kg - on weight controlExamination:BAR, no murmur/arrhythmias, clear lung sound, MM/CRT: pink/<2sEEN NSFOral minimal tartar on carnassials, no gingivitis, mild underbiteLN NSFAbdo NSFMSK NSF - Integument: Areas of alopecia noted from licking and biting. Mild pruritus. Advised owner that continued licking could lead to secondary infection and an e-collar may be required.Assessment: - Problem list: 1. Atopic dermatitis - pruritus, skin condition fairly normal; not much erythema nor signs of secondary infection noted. 2. OverweightTreatment:Cytopoint 20mg 840616 02.2027 sc interscapular Plan: - tapewormer every 3 months - Recommended gradual weight loss of 1kg. Diet of boiled chicken and pumpkin is appropriate. Weight loss should not be too rapid.Communications: - Discussed that pruritus is likely immune-mediated and genetic. - Explained that Cytopoint is dosed by weight and frequency is based on recurrence of symptoms, not a fixed schedule. Name of injection (Cytopoint) provided to owner. - Discussed weight management and ideal body condition, which is assessed by palpating the ribs.    Vital Signs    Weight: 13.5;