C10015060 / invoice 10000

Reason: Vacc Appointment Notes: Overdue remindersHistory: Dx with IBD at ARH - has been off pred since early Feb (5-6 weeks) - hsa been ok GI wise but his hair is falling out +++Does get hot spots - o treats with malaseb wash and neocort, responds wellWas seen on Sat and ear infection diagnosed - has been on dermotic Current diet is RC annallertgic and o supplments with veg (brocolli, cauliflower, carrots etc) and currently no GI issuesExamination: BAR, beautiful boyMM pink and moist crt<2sec, teeth nadHR WNL, no murmur detected, HR 120RR WNL chest clear RR PANTAbdominal palp NADCoat and integument NADMusculoskeletal exam NADBCS 6/0T 38.4Ear cytology - clear bilaterally Treatment: Vaccination nobivac 2513401 exp 1/27 and oral bb 2532515 exp 7/27Continue dermotic for 2 more days then can stopPlan: Due KC March 2027, 2028Triannual vac due March 2029Rex any concerns    Vital Signs    Weight: 46;