C10016990 / invoice 10000

Reason: Skin assessmentAppointment Notes: Booked via Petbarn App: 26/02/2026 16:43:28 PMBooking Type: Health CheckBooking Notes: Health check  ------- Sms reply: YHistory: Luna presents for GHC, nail clip and more Zenrelia. See previous history.Owner reports vast improvement in pruritic skin disease with current dose of Zenrelia. Only occasionally seen scratching, no longer causing self-traumatising wounds. No other health concerns, EDDU normally. No vomiting or diarrhoea. UTD: NGS Current diet: Purina hypoallergenicCurrent medication:Zenrelia 6.4 mg PO SIDExamination: T:    -  C                                   MM: p/mP:  116 bpm                             CRT: 1-2sR:  pantingDemeanour: BAR, a bit nervousHydration: euhydratedBCS: 6/9MCS: normalCardiovascular: WNLRespiratory: WNLAbdomen: WNL, comfortable on deep palpationPeripheral LNs: WNLOcular: WNLEars: WNLIntegument: WNL, no erythema or lesionsOral exam: Grade II/IV periodontal diseaseMusculoskeletal: WNL, no pain/swelling/crepitus on palpation/manipulation of joints associated with all 4 limbsGait: WNLNeurological: WNL, full neurological exam not performed todayRectal: not assessedAssessment: Current Zenrelia dose is resulting in excellent control of pruritic skin disease. Continue current dose. Treatment: Zenrelia 6.4mg PO SID (owner wises to purchase 18-0 tablets) - 60 in clinicPAID FOR IN FULL**** Owner will pick up remaining medication next week when in stock.Consent has been given by the client to proceed with this treatment  -  YesPlan:Above plan    Vital Signs