C10009176 / invoice 10000

Reason: Itchy Feet And Skin - O Waiting History:Previous medical conditions - MCT + epithelioma removal 2025, conjunctivitisCurrent meds - noneOwner concerns - Presenting complaint(s):1. Pruritus affecting elbows, feet, and scrotum.2. Ocular discharge.Rush presented approximately four weeks ago with watery eyes and pruritus primarily affecting the elbows and scrotum. He was boarded at a kennel prior to that. The pruritus has worsened and spread to the feet despite treatment with flamazine cream. The scrotal lesions have improved with flamazine.Ocular discharge improved after 7 day course of chloramphenicol ointment, but eyes still slightly red and Rush rubs them at night. Not squinting. Scratching and licking occur primarily when resting, not obsessive, and not waking from sleep. EDDU normal, no V+D+ History of previous pruritus flare ups, but stopped after moving to a new house without a backyard a few years ago. Examination:Temperament/Demeanor: BAR, friendly, loves schmakos Chest Auscultation: No murmur/arrhythmias, lung sounds clear. Synchronous femoral pulsesOral: Teeth clean Eyes: No blepharospasm or discharge. Very mild hyperemia and scleral erythema, no chemosis. Ears/nose/throat: Ears clean without any erythema or stenosis Abdo palp: Nad Skin/coat: Moderate hyperkeratosis, erythema and alopecia of both elbows, R elbow surface slightly moist and eroded. Moderate alopecic and erythema of digit 2 & 3 interdigital spaces of both front feet and RH foot. Scrotum and rest of skin nad. Gait: Nad MSK: Not palpated. Normal muscle mass LNs: Nad Neuro: Nad Rectal/urogenital: Both testicles symmetrical in size and texture Laboratory:Sticky tape cytology (R elbow, RF foot): 20-30 neutrophils per hpf, occasional cocci (1-2 per hpf) and yeast on foot sample (1 per 2-3 hpf) Assessment:1. Superficial pyoderma secondary to self-trauma and underlying allergy flare up (likely environmental given recent environment change) 2. Mild conjunctivitis without secondary bacterial infection, likely allergic in origin.Plan: Short tapering course of oral steroid to reduce inflammation and pruritus. Apoquel avoided as history of mast cell tumour. Malaseb shampoo washes twice weekly for 2 weeks, then once weekly for 2 weeks to treat superficial pyoderma and to use for future pruritus flare upsRecheck if skin not improving or flares up again, otherwise no recheck required if resolved.    Vital Signs    Weight: 30.27;       BodyScore: 5;