C10005438 / invoice 10000

Reason: Medication Cherck SBHistory: HAS been on apoquel chewable 5.4mg sid but pruritic (has worked well in past but not now).  Examination Subjective: nice dogExamination Objective: dry superficial hotspot L cheek.Ears are clean, just hairyNo abnormalities of skinAssessment / Diagnosis: pruritis, poss atopyPlan: disp ceph in case bacterial dermatitis causing apoquel resistanceRecheck with dA next month for vaxIf runs out of apoquel before then- switch to apoquel WHITE TABLET 16mg, 1/3 tablet sid (cheaper)Cytopoint? Food intol trial?    Vital Signs    Weight: 10.2;