C10014297 / invoice 10000

Appointment Reason: Hot SpotHistory:- Sunday went to AVC, seems to be clearing- hot spot on his ventral chest that isn't getting better- cleaning with saline Previous history: Seen at AVC for LHL interdigital swellingCurrent medication: meloxicam only at night + amoxyclav 375mg BIDExamination:BAR, lovely boyIntegument - ventral neck on midline is  a 50c sized area of scabbing & excoriation, cytology cocci ++Assessment:ventral neck pyodermaPlan:Recommended cleaning with chlorhex BID, drying thoroughly + applying bacticorten cream BID, O to finish the amoxyclav as prescribed as well. R/V INI or becomes worse. O also questioned if they need more optimmune as 8 months old, discussed with o that active ingredients should still be okay to continue using until tube is finished    Vital Signs    Weight: 21.6;