C10012217 / invoice 10000

Appointment Reason: ItchyHx:- EDDUn. No V+, no D+. Likely no pu/pd.  Loves cold water from fridge. - Diet: Turkey, chicken, beef, lamb, rice, veges meatballs + some RC Hypo-allergenic. - UTD parasite prevention: NGS q1monthly - good response Cytopoint. - dog wash weekly Malaseb.- licks paws, scratches ventrum, Exam: BAR. Eyes:  clear OU, no bleapharospasm, no discharge, bilat PLRs (direct and consensual).Ears: clear OU, no discharge or swelling.Nose: clear, no discharge.Oral: dental grade 2/4, no ulcerations/masses present.Cardiovascular: no murmur, no arrythmia, strong/synchronous pulses.Respiratory: no dyspnoea, clear lung sounds all fields.Abdomen: no pain on palpation, no mass effect, no fluid wave, no abnormalities.Integument: scabby dorsum, ventral abdomen pruritis with erythematous scabs.PLN: WNL.Neuro: CNs intact, CP present and WNL x 4, mentation appropriate.Musculoskeletal: ambulatory x 4, no pain on palpation of back/neck, no pain on ROM of joints or neck.Urogenital: NAD.A: allergic dermatitis flare-up DDx: CFR +/- environmental > flea.Tx: Plan:1. Tx: cytopoint  30mg sc [batch #806897].Plan:1. Continue monthly cytopoint injections.Hx: going well at home. EDDUn. No V+, no D+. No pu/pd.Exam: BAR. See vitals below.Tx: cytopoint  mg sc [batch # ].Plan:1. Continue monthly cytopoint injections.    Vital Signs    MMColour: Pink;       HeartRate: 120;       Demeanour: BAR;       Hydration: Normal;       Gingivitis: 1;       Calculus: 2;       Observation: Normal;       Temperature: 37.9;       BodyScore: 5;       DentalGrade: 2;       CRT: Less than 1;