C10010366 / invoice 10000

Reason: Allergies / SkinAppointment Notes: Booked Online: 02/03/2026 16:01:22 PMBooking Type: UnwellBooking Notes: Skin Allergies Owner Name: Jutatan Naraiprasit Owner Email: jutatanna@gmail.comOwner Mobile Number: 0410146662Pet Name: CooperPet Species: DogWeb BookingClient name: Naraiprasit Contact number: 0410146662Email address: jutatanna@gmail.comPatient name: Cooper  ------- Sms reply: YHistory:Have had Cooper on a diet- has lost 1kg since last visit. Worried about his skin- in the last 7 days noticed lots of red spots all over his body. Has been prescribed cortavance previously by toher vet and have been using that- this helps, but the red spots still keep coming. Is itchy as well- scratches all over his back and inguinal region. Ears are ok, not bothered by them. Noticed a bi tmore smegma fromp enis in last weekUsed to have apoquel and this helped- been more than three months since had this. Before using cortavance was quite itchy, but before that much more itchy. EDDU normallyDiet: lyka hypoallergenic (goat based) formulation  and pro plan sensitive skin and stomach (salmon and mackerel based) kibble No v/d/c/sParasite control: UTD nexgard spectra monthly Examination: bAREyes NADEars NADMouth and teeth: light tartarLns WNLThoracic cavity NADAbdo palp NAD soft and comfortableIntegument: small excoriation present right side inguinal region. Musculoskeletal NAD Reproductive mild increase in smegma amount, but no inflammationBCS 5/9 Assessment: pruritis- discussed allergy types and options for investigation (referral to derm for skin patch testing) vs management with meds. O's are going away for a month, and Cooper with frined- for hte moment just want to manage itch- as apoquel worked well before, will give this. Recc clean prepuce with dilute chlorhex- does not look like has balanoposthitis currently but as owners going away okt o clean to try and prevent getting wrosePlan: apoquel SID for managementChlorhex BID around prepuce    Vital Signs    Weight: 12.2;