C10015622 / invoice 10000

Reason: Cut On PawAppointment Notes: Owner came back after a trip and noticed the cut JTReason: History: O was a way and a dog sitter was looking after Katie, took her to the beach , no new food or treats given .O noticed yesterday scratches on her neckO was cleaning with salty waterMedications: nilDiet: one cup advance morning and nightExamination: Dem: Friendly, BAR Oral: nad mm:pink&moist, CRT<2sDental score: 1/4Eyes: nad     Ears: nad     Nares: nad     Pulse: nadIntegument: 4 cm hot spot on V aspect of neck Neuro (incl cranial): nadThoracic Auscultation: nad, no heart murmurs/arrhythmias, lungs clear Lymph: nad     Abdominal: nad     M/skeletal: normal ROM. No pain. Anal glands: nad No pyrexia (38.6C)Discussion: V aspect of neck shaved and cleaned with saline , suspect hot spot due to skin inf vs insect/spider biteTreatment: Neocort cr on affected area BID 10 days Cephalexin 600 mg BID wirth food for 7 daysPlan: monitor if she scratching the area , RV if needed    Vital Signs    Weight: 33.6;       MMColour: Pink;       RespirationRate: 20;       HeartRate: 100;       BodyScore: 6;       DentalGrade: 1;       CRT: 1-2;