C10019165 / invoice 10000

Reason: Skin / Irritation *gap?*Appointment Notes: Paws App Details:Booking Type: Skin / Ear / Eye ConsultationBooking Vet: - Any -Booking Notes: Skin irritation Owner Is your pet(s) insured?: YesHistory: BAR, EDDU normal. O concerned has been ithcy on tummy the last several weeks. Seems to come and go a bit - at its worst is quite red and inflamed with visible scratch marks. Today seems betterHx sensitive stomach. Had a vomit yesterday, one since then. Sometimes gets sloppy stools, not currentlyCurrent diet grain free kibble, plus chicken, turkey mince, sometimes liverExamine: HR = 140, RR panting,c hest clear, mm pink and moist, crt 1 secNIce teeth. Mild tartar 309 409. UNdershot jawEars clean and calmAbdo soft and comfortable nadSKin on ventral chest and abdo appears very mildly pink. No papules or pustules or other skin lesionsPaws look OKAssessment: Suspect atopyPlan: Discussed anti-puretic options - O elects to monitor for now. Discussed food diet trial - less likely as symptoms fluctuate but worth doing to rule out. O to avoid acces to wandering jew - thinks has this near houseRecommend weight lossNexgard spectra given PO in consult    Vital Signs    Weight: 16.2;