C10008098 / invoice 10000

Reason: Rash On Stomach + Wormer>KS ( Hx Attatched) Appointment Notes: Cookie (Dog) - Vet Consultation [Clinician : Dr Jill King (Preferred Clinician)] - Follow up from visit to Newport vet for rash on stomach  and worm treatmentWeb BookingClient name: Mardi BarnesContact number: 61403888246Email address: mardionemail@gmail.comPatient name: CookieCookie has a short hair cut every 6 weeks. She has a weekly wash in pyohex and face and vulva wash with mediderm. The cytopoint and topicals worked well and Mardi has not had to give apoquel. They discussed food trials. Cookie is on Vegan dry in the morning and pips eats beef or lamb in the evening. - she is a hungry dog. I discussed novel proteins. As a food triaI would just go to vegan dry but realise that food is not always the cause. Examine: Skin more settled than before - 1 small pustule on inner thigh  and discharge in L ear but otherwise settled.Lab Results: STP: Belly - clearFoot - some pollens 1 malassezia seen. Vulva 1-2 malasseziaMouth rods and malasseziaR ear clear. L ear yellow discharge with cocciAssessment: Well controlled now but will need on going management. Plan: Wash weekly this month in malaseb. Wash face and vulva with medidemL ear cleaned and apply mometomax. Food trail of vegan kibble only. Continune cytopoint as needed. Recheck ear after Easter.    Vital Signs    Weight: 13.3;