C10019118 / invoice 10000

Appointment Notes: Itching a lot. HISTORY:- Has been scratching at her back legs and axilla on the LHS - mild alopecia- Concerned about scratching, has been going on for monthsDoing well: Eating, drinking and toileting normallyCurrent Medications: None Medical conditions: None Vomiting or diarrhoea: None Any Concerns: None Diet: Home cooked diet same amount as usualAppetite and thirst: Normal Flea/tick: UTD - NGS Worming: UTD - NGS EXAMINATION: Demeanour: BAR MM: Pink, moist, CRT <2 Eyes: Clean and clear, normal eyelids, no erythema or discharge Ears: Minimal debris, no inflammation or odour Lymph nodes: Peripheral lymph nodes palpably normal Oral: No oral lesions or abnormalities detectedTeeth: Dental grade 0/4, normal occlusion. COHAT Level Estimated: (A, B, C, D, E) Cardiovascular: Normal heart sounds, no murmurs or arrhythmias detected, femoral pulses synchronous and normodynamic Respiratory: No nasal discharge, normal bronchovesicular lung sounds in all 4 quadrants, no coughing seen Abdomen: Soft and comfortable on palpation, no masses palpated, bladder unremarkable MSK: Normal gait no lameness. Normal ROM with no pain of all limbs. No pain on DV palpation of spine Integument: Coat is soft and clean, no ectoparasites detected, no obvious skin lesions or masses Neurological: Normal mentation, no ataxia or CP deficits observed. Full exam not performed Reproductive/Urogenital: External genitalia normal in appearance Rectal: Not performed PROBLEM LIST: N/A DIAGNOSTICS: N/A ASSESSMENT/DDX: PLAN:MEDICATION: CLIENT COMMUNICATION: N/A TREATMENT: Handouts given: Health report / Dental / Arthritis / Other (Name)Estimate provided (Y/N or NA)Cytopoint 10mgBatch: 828805Exp: 01/2027Date of last consult:    Vital Signs    Weight: 7.7;       MMColour: Pink;       RespirationRate: 24;       HeartRate: 108;       Gingivitis: 0;       Calculus: 1;       Observation: Abnormal;       BodyScore: 5;       DentalGrade: 1;       CRT: 1-2;