C10009747 / invoice 10000

Reason: ALM Not Himself -BDAppointment Notes: seems uncomfortable ? normally an AP, aware she is seeing ALM and is okay with that.History:  Owner has noticed that has been itching his back end for the past few days after owner shaved the area no other concerns eaitng and drinking normally.Examine: Heart no murmur or arrhythmia noted, pulse strong and synchronous.Lungs appears to be normal sound no wheezing or crackling noted. LN appears to be normal size.Abdomen appear to be normal no discomfort or abnormalities noted. Eyes normal sclera and conjunctiva. No discharge noted. Normal reflex.Ears: Appears to be clean and no discharge noted. Nose No discharge no abnormalities noted. Mouth normal, mild gingivitis and tartar noted. Mostly staining Genitalia appears to be normal no discharge noted.Mobility appears to be normal for the age. Skin and coat appears to be normal other than perianal irritation dermatitis.MSK/Neuro WNLAssessment:  Skin irritation around the perianal area very superficial Mild dermatitis Treatment:  Neocort and conePlan:  recheck in 7 days    Vital Signs    Weight: 15.2;       MMColour: pink;       HeartRate: 120;       BodyScore: 6;       DentalGrade: 1;       RespirationRate: panting;       PainScore: 1;       CRT: 2sec;