C10006599 / invoice 10000

Reason: Cytopoint, EarscytopoAppointment Notes: Paws App Details:Booking Type: Cytopoint InjectionBooking Notes: CytopointOwner Name: Linda NicolasOwner Email: lindanicolas@iinet.net.auOwner Mobile Number: 0412112716Pet Name: AddiePet Species: DogPet Insurance Provider & Policy No (if applicable & not provided): Petinsurance.com.au.       PC10077410Web BookingClient name: NicolasContact number: 0412112716Email address: lindanicolas@iinet.net.auPatient name: Addiehk checkedHistory: 30mg fluoxetine SID 75mg BID pregabalin Clonidine 300mg SID in the afternoon. For anxiety Slightly red ears Licking and chewing at feet.OBJECTIVE: - Mentation: BAR.  - Cardiovascular: No murmur detected, pulses synchronous, rate and rhythm WNL- Respiratory: No adventitious lung sounds, rate and effort WNL- Abdominal palpation: Soft comfortable, NAD- Oral examination: pink moist MM 1b dental disease - Ocular examination: Clear no conjunctival erythema.- Aural examination: Clean, no erythema externally, mild waxy debris bilaterally TM intact - Integument: skin turgor WNL, mild moderate interdigital erythema particularly hind paws. - Lymph nodes: NAD- Urogenital examination: NAD - Rectal exam: Not performed - Neurological examination: appropriate mentation- MSK: NAD ASSESSMENT: Allergic dermatitisClient communication:Discussed topical managments Foot bathing malaseb and elocon for feed 2x weekly Otoflush 3-4 days thisweek and then once weekly ongoing with elocon followingTREATMENT:Cytopoint 0.9ml 40mg SQ neck PLAN:Foot bathing malaseb and elocon for feed 2x weekly, then as needed ongoing Otoflush 3-4 days thisweek and then once weekly ongoing with elocon following    Vital Signs    Weight: 23.1;       MMColour: p/m;       HeartRate: 90;       BodyScore: 6;       DentalGrade: 1b;       RespirationRate: pant;       CRT: 1.5;