C10008250 / invoice 10000

Appointment Notes: VETSTORIA  Maegan Johnsen (0405828480 maeganjohnsen@gmail.com) with Lemon (Dog) - Revisit (Lemon was seen by Dr James last when I brought her in with a skin issue. We finished the meds last week and now it’s flaring again, lots of licking and scratching :() - [Veterinarian :  Consult 2A(No Preference)] -  Web BookingClient name: Maegan JohnsenContact number: 0405828480Email address: maeganjohnsen@gmail.comPatient name: LemonHx:Had zenrelia trial and cephalexin for pruritis/pyoderma 5-6 weeks ago. Completely cleared skin up- no longer pruritic,Has now been off for a bit over a week and now starting to lick/scratch axillas again, licks paws, EDUF normal,Diet: metabolic hills biscuitsUses malasseb sometimes. Harness was rubbing Nov last year,Had anaphylactic reaction 3hrs after C5 vaccineFlea/worming: NGSNo previous elimination diet trial as pruritis is new. PE:BARLovely girlMild erythema bilat axillas,Normal interdigital spaces,Dental grade 1/4MM PM, CRT<2sEENO WNLProblem list:1. PruritisDdx: Allergies (food, environmental)P:Cont Zenrelia 3.2mg SID for now then SID PRN,Baseline CWP now - phone O with results, Then rec rpt CWP (or just CBC) at 3 months,Ok to dispense another 1 month of zenrelia if O calls, then needs 3 month blood test for monitoring.Next step then is elimination diet trial    Vital Signs