C10016315 / invoice 10000

Hx:Doing well, was on zenralia - if not on it excessively licks and scratches. Takes about 1 week after starting meds before itch is suppressed.Keen to try allergy injection. Has only started getting itchy in the last year. Diet: half cup hills metabolic and dessert spoon of mince  a day.Exercise: has heat intolerance and is not walked in summer and thus gains weight. Ex:excessive pantingOverweightPlan:Only due for vaccination - quantum and SR12 due in August. Vaccination Bb/Pi 2523706 04-2027 sc Cytopoint injection 40mg scGood for injections with owner feeding treats.

flapping earsalso rubbing face and licking pawshasn't had many issues with allergies before but is having a flare up nowears are erythematous, small amount discharge -sparse yeast. more of an allergy flare up than infection. minimal exudate paws50cent piece size epithelial collarette ventral abdomen, angry looking.Rx zenrelia 15mg 1.5 sid x 14 days. can ring and request more if needs them.cephalexin 500mg bid x 10 days for the staph infection on bellyPMP for ears - bid x 7 days.also recommend malaseb shampoo twice a week with 10 minute contact time while having skin issues, then less frequently as skin improves. 

doing well.