C10005624 / invoice 10000

Reason for Visit: skin recheckHistory: doing well no more scratchingWas a bit panty on higher steroid dosesExamination: Bar. Bcs 3.5/5Mm pink, crt 1 second, hr 128Rr 32 sores when mouth shutSkin 1.   Vulval skin looks good - back to normal2.  Feet normal3.  Ears - normal - rare malasezzia still on swabAssessment: Doing wellDiscussed with o's1.   Suspect Ginger is a mild skin allergy dog.   As she has never had a problem until now initial plan is to clean ears weekly and malaseb bath weekly and review if there is a flare2.   Desexing - not going to breed, at 4 1/2 yrs desexing is recommended3.   Upper airway - discussed surgery and options around this - will consider - sounds like overlong soft palate    Vital Signs    Weight: 8.7;       Temperature: 38.1;