C10009629 / invoice 10000

Male OVerified yesHISTORYPresenting for: Charlie presented for annual vaccination. Owner also reported skin redness on belly that occurred 2 weeks ago but has since mostly resolved.Historical Conditions: Previous skin redness on bellyDiet: Dry food and raw chickenSkin: Experienced skin redness on belly and irritation 2 weeks ago which has mostly resolved. Still has a small lesion present. Minimal itching recentlyCurrent Meds: Due FW. Owner considering switching to flea powder due to possible skin irritation associated with liquid topical flea preventionPE:Mentation: BAR, friendly boyCardiac ausc: normal R+R, no murmur noted, pulses synchronousResp ausc: normal lung sounds bilaterallyTemp: not assessedMM: PMCRT: <2sEyes: clearEars: cleanNose: NADTeeth: mild calculus accumulation bilaterallyLN: SM, PS, popliteal wnlAbdo palp: soft and comfortableIntegument: approx 6mm diameter dried scab on R side of prepuce NAD otherwiseMSK: normal gait at a walkUrogen: prepuce NADASSESSMENTMild dermatitis - Appears to be resolving with medicated shampoo treatmentVaccination visit - Apparently healthy, suitable for vaccinationPLANVaccinations:- Annual vaccination administered nobivac C5 SC dorsal interscapular region. Due next KC in 12mo- Advised to monitor for potential vaccine reactions in the next few hours, particularly injection site pain. Rare possibility of anaphylaxis mentioned.New Meds/Tx:- Continue using medicated shampoo as needed for skin issues. Noted it was effective in reducing scratching.Diet Recs:- Advised against feeding raw chicken due to risk of bacterial contamination (Salmonella, E. coli). Recommended either cooking mince or feeding whole raw meats like offal rather than minced products if really want to feed raw food.Client Comms:- Discussed insurance coverage for vaccinations. Client mentioned they changed from RSPCA insurance to another provider.- Discussed potential causes of skin irritation including possible environmental contact allergens (specific grass types) rather than flea treatment.18/12 Rouitne vacc no ncb mc

Insurance Claim sent to RSPCASkin Prob $160.64

JohnOs noticed scratching at flanks ++ yesterday, and has been chewing feet but always done so and not any more than usual. Ventrum looked very red yesterday but os report better this evening but still scratchingEDUF normal, no v/d/c/s, not on any meds. UTD parasite control (spot on selemectin- selapro?) since start of the month. Os careful to ensure stays dryThinks might have a flea though as found dark spot on him but didnt have glasses on to investigatePExBAR wrigglyThoracic ausc nadMM pink moist crt 2LNs wnlEENO nad, g2 teethSkin- ventrum mildly erythematous but no other lesions, no ulceration or discharge. interdigital skin ok. no fleas in coat or on flea combAssessmentAtopt vs food vs contact allergy- discussed options incl more conservative malaseb shampoo to apoquel and cytopoint. as apaprently already improved from yesterday, o opted to trial malaseb shampoo and revisit INI23/9 NCB no answer, sent txt and survey mc