C10013586 / invoice 10000

Reason- skin History- this week scabs on the back again. Had sin issues 4 months ago.has been doing well and no issues the past couple of monthsowner reports doesnt seem itchy. not scratching though can chew feet a bitotherwise food has been the sameExamination:bareyes and ears gooddorsum and also lateral thighs generalised scabbing removed some scabs- skin below is erythemous - impression smear- moderate cocci +++, some neutrophils and rbcs right front paw interpad space and mild erythema - sticky tape prep- malassezia ++rest of the skin and ventral abdomen okAssessment- pyoderma and also malassezia pododermatitis likely 2ndary to allergiesatopy vs food rec consult with vet derm clinic- can have allergy testing Treatment- cephalexin 600mg po bid for 3 weeksketoconazole 150mg po bid for 2 weeksowner has malaseb wash at home- can bath and remove scabs and dry out well. can do today and then again in 3 daysPlan- book in with vet derm clinic for workup     Vital Signs    Weight: 26.9;