C10012891 / invoice 10000

diet - performa dog dry food, ziwi peak wet food daily as well.- been on for a few yearshas been licking at forelegs recently, small scab wound L medial antebrachium, no wounds on rfl, no significant redness anywhere. feeta dn pads look good. has been dry and dandruffy on back as well. never happened before.lives a life of pretty strict routine and no increase in anxiety. lives between melb and torquay- suspect seasonal allegy component to it.trial pred and o has panapex at home for scab wound. malaseb shampoo weekly for 3wks as well.has mild reduced flexion bith carpal joints- discussed reduction in fetching acitivity as well.

Hx:wound noticed at tail base yeesterday, unsure how occuredotherwise well, EDUF normalEx:BARBCS: 5/9MM: pink, moist CRT<2TEMP: not performedCVS: HR ,no murmur or arrythmia auscultated, SSFPRESP: RR , clear bronchovesicular lung sounds, normal effort/rate.OCULAR: nsfORAL: G0/4EARS: nsfLN: nsfABDO: soft, comfortable.MSK: no lameness observed, comfortable on examNEURO: nsfUROGEN: nsfINTEG: ~1x1cm superficial ulcerated lesion lateral right tail base , no FB or penetrating sinus presentAx: superficial ulcerated woundTx:neocort BID 7dPx:revisit ini 3-5d

HxO concerned about area at tip of tail that he is licking recently. Otherwise well and no itch elsewhere.Exam:Big strong boisterous, active dog.Small area at tail tip of alopecia and inflam, slightly raised area with tiny scab. Looks like a callus that has been traumatised...?Sticky tape prep shows +++ cocci, occasional yeast.Plan:Explained can't be certain what it is without biopsies etc, but healing is problematic in this area, and likelihood is that it's trauma/irritation from wagging, and his licking is exacerbating things.Try panapex bid 10d, with distraction after application. Also pred to prevent further self trauma (watch for any gut upset and stop if occurs).