C10013097 / invoice 10000

Appointment Notes: sore back endH: Sunday home alone indoors, holding up hindleg when owner returned (unsure which). Would not sit when commanded.  Got a bit messy around bottom, when owner tried to lift tail he yelped. Tail down all day yesterday. Starting to lift tail again when urinating.O: Thickened area 5cm from base of tail. No instability and has movevement in tail.     Vital Signs    Weight: 25.6;       

Appointment Reason: Vaccination,Has been well, owner has no concerns.O: Eyes, ears, nose and mouth healthy. Chest sounds and abdominal palpation normal. Skin healthy. Neuromuscular exam unremarkable.P: Vacc C5 - Duramune C4 sc plus Protech Bronchi-Shield Oral.on nexgard spectra    Vital Signs    Weight: 25.95;       Temperature: 38;       

Appointment Notes: check spot on top of leg, it has a ring around it and a black dotHistory:Was jumping on a scrub. Now has red spot in between HLs. Not pruritic. Otherwise well. Examination:BAR, lovely boy, likes treats. MM pink, CRT <2, heart/lungs NAD, PLNs WNL, ears, nose & eyes NAD. DG 0/4, BCS 5.5-6/9, MCS 3/3, Weight 21.5kg. Skin- approx 1cm circular area of erythema w/ mild crusting R inguinal/ventral abdo region. Woods lamp negative. Laboratory:Sticky tape prep- NAD Assessment:Contact allergy? vs other Treatment:Neocort BID for 7dPlan:Recheck INI. \    Vital Signs    Weight: 21.5;