C10009060 / invoice 10000

Appointment Reason: ItchyHx:Itchy for about 2 weeksChewing and scratchingPatch of hair loss from self traumaIs on nexgard spectra monthlyNothing similar prevExam:BARLocal area of alopecia lateral aspect proximal L thigh - roughly circular 3cm diameterRest skin is okEars okRemainder okLaboratory:Skin scape of alopecic area - negative for mites/fungiAssessment:allergy? other?Treatment:Gave 1mg dex IMPlan:assess response to treatmentr/c if no better    Vital Signs    Weight: 12.7;