C10018609 / invoice 10000

Reason: Skin IssueAppointment Notes: knAttendees: Jenny History:Pebbles has presented for scabs forming over body - non-pruritic, developed over 2-3 weeks. NGS UTD. No current medications. Eating drinking urinating defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessItching and scratchingBright Alert ResponsiveBody condition score 6/9Examination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade 0 Nasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – no discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HR 84 Lungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negativeAbdomen – comfortable on palpation, bladder normal, no masses palpatedLimbs – all good range of movement, no swelling or pain on palpationNeck and spine – no pain on palpationSkin – Several epidermal collaretes presents over ventral abdomen and dorsum - cytology neutrophils and cocci Nails – fineAnal glands – not scootingGenital region - no masses or swellingsDiagnosis: Superficial pyodermaTreatment: Cephalexin 300mg BID PO Prednisolone 20mg taperingMalaseeb weekly Plan: Reccommend fish oil 1000mg/10kgDiscussed steroid vs apoquel/cytopoint vs specialist/IDATFUC 5 days    Vital Signs    Weight: 24.5;