C10004990 / invoice 10000

Reason: Multiple Lump Check. AJ (Cat Room)GAP ONLY HISTORYFirst clinical signs - has been overgrooming since Thursday when owner applied bravecto to L side neckSummary - has scabs around neck and erythema adjacent to left earDiagnosis - dermatitis secondary to overgrooming of bravectTreatment - pred x4 doses + neocort + owner can bathe Kyra to remove residual product from fur (as >72 hours from application)Royal canin stress foodT/d, oral care--- 09/03/2026 14:21:11 NLC:Cat Annual Health Check & Vacc - Skipped on 19/09/2024Diet: Preventative healthcare:Vacc:HWP:IW:Flea/tick:HISTORY:O's presenting complaint(s): Examine:PHYSICAL EXAMINATION: BCS: ## / 9MCS: normal muscle mass #Mentation: alert and responsiveEYES: NAD - clear, no noted discharge #EARS: NAD - clear, no discharge, odour, erythema#NOSE: NAD - clear, no discharge, symmetrical, no lesions #ORAL: NAD - normal pink and moist mm, normal CRT, healthy teeth & gums#CARDIOVASCULAR - NAD - no murmur or arrhythmia auscultated, pulse pressures normal and synchronous#RESPIRATORY: NAD - thoracic auscultation clear sounds bilaterally, respiratory effort normal#ABDOMINAL: NAD - soft pliable, no detectable pain or palpable abnormalities#NEURO: NAD - neurologically no significant findings, no cranial nerve or proprioceptive deficits/gait#MUSCULOSKELETAL: NAD - ambulating with normal gait & posture, no pain on palpation of joints, appropriate ROM#RECTAL: not performed#REPRODUCTIVE: externally normal #INTEGUMENT: NAD - clear coat and skin #LYMPH NODES: NAD - peripheral nodes palpate normal #Assessment:Plan:    Vital Signs    Weight: 4.4;