C10010274 / invoice 10000

Appointment Reason: Ear problemRIGHT EAR    Vital Signs    Weight: 6.2;       

Appointment Reason: Cytopoint Injection10mg cytopoint given skin flared up on tummy/groin area,     Vital Signs    Weight: 5;       

Appointment Notes: Itchy - around groin area. rkitchy groin area/axilla/pawsWinston is a 19 week old entire male long haired dachshund that presented today for itchy skin.Physical examinationHR 120, normal heart soundsRR 28, MM pink, normal hydration, changing dentitionOral examination - changing dentition - mild overbiteAbdominal palpation normal - overgrooming/lickingand biting  on the ventral bellySkin and coat itchy paws/axilla and inguinal region with resultant erythema and mild hyperpigmentationEars normalMobility normalAppetite and stools normalDiet: raw food - recommended to change to commercial owner will considerDiscussed contact allergens - grass, possible washing powder that they are using to wash their bedding.Unlikely to be atopy and food allergy at this stage.Owner has tried applying agave based skin cream - but Winston will not have it.Administered cytopoint 10mg dose    Vital Signs    Weight: 4.3;