C10013213 / invoice 10000

Reason: LumpHistory: Itch score  /10. Has the itch become worse recently?Other medications being used? Eg Apoquel, topical shampoos, Fuciderm/neocort etcTreatment: Cytopoint 0.25ml of 40mg/mlPlan:repeat in 4 weeks, or as necessary.Examine: The lump is a hotspot over the left illia area.Clipped and cleaned with chlorhex.Apply bacticorten tid for 5-7 days (O has this at homeChewing feet again - L hind looks quite erythematous but is also focussed on R fore.Long time cytopoint user - 0.17ml given SC.Expect pruritus to resolve in 24-48 hoursMay need oral abs/pred for hospot but avoid if posisbleSheduled for large lipoma on ventral abdomen removal early April - avoid pred.    Vital Signs    Weight: 7.7;       HeartRate: 112;       BodyScore: 5-6/9;       RespirationRate: 20;