C10006183 / invoice 10000

Reason: Rash On BellyAppointment Notes: Overdue remindersSticky tape prep: intracellular cocci ++Verified: NoReason: Skin lesion on abdomen - possible blood on blanketHistory:14 year old male dog with diagnosed Cushing's dz on medicationOwner noticed what appeared to be blood on blanket Friday nightPresented to emergency clinic but chose to wait for regular appointmentLesion observed again this morningNo signs of discomfort or bothering the dogCurrently on Cushing's medication but no recent monitoring scheduledExamination:BAR in consultMMs: pink & moist, CRT < 2secEars: No odour or significant dischargeCardio: no murmur or arrythmiaResp: Lung sounds clear, normal respiratory effortAbdo: comfortable on palpation, no palpable massesIntegument: Hard lesion on abdomen with white calcium deposits visible - consistent with calcinosis cutisLNs: normalLaboratory:TAPE TEST skin: pending microscopic examination for secondary bacterial infectionAssessment:Calcinosis cutis secondary to Cushing's dzPlan:Skin tape test collected for microscopic examinationCushing's monitoring blood test to be scheduled for next week - will require day stayOatmeal wash recommended for weekly 20 minute baths to soothe skinConversation with owner:Explained calcinosis cutis is calcium deposits in skin secondary to Cushing's dzAdvised condition may persist even with well-controlled Cushing'sInstructed not to apply topical treatments to lesionWill call with tape test results if secondary infection presentOwner to book Cushing's monitoring appointment for next weekREX as needed based on tape test results    Vital Signs    Weight: 7;