C10020565 / invoice 20000

Reason: Skin IssueHistory: Eating well, no v/d/s/cSkin very scabby Past 2 weeks - not clearing with the bactricorten Have tried shampoo Very itchy All over the back, ventrallyNo known trigger Diet: back onto normal kibble Prophylaxis: UTD NGS Examine: lovely dog Mm p+m crt2Teeth okSome wax in earsNAD chets auscNAD abdo palp Generalised crusting - mainly down the back, cranial chest, some ventrallyVentral erythems Laboratory: Sticky tape prep - neutrophils + intracellular cocci Assessment: diffuse superficial pyoderma Treatment: Cytopoint 1ml (1 vial)  of 40mg/mlPlan:repeat in 4 weeks, or as necessary.Malaseb EOD to lift scabs 10 course of 1000mg cephalexin BID then recheck --> may need to extend this course--- 11/03/2026 10:33:15 SCC:Voicemail left and text message sent    Vital Signs    Weight: 36.4;       

Reason: Vomited Once A Day For 4 DaysHistory: Last 4 days dog has been vomiting in the afternoon1 episode a day Vomits up undigested food - with Yellow liquidDefecating ok - normal bowel motionsDoes not appear lethargicDog is fed bid - 6am and 5.30pm Last 2 days vomited around 4.30pmNo change in diet Fed kangaroo meat, vegies, sardines and offalNo dry foodNo change in diet No new treatsNo known access to anything - does go for a walk with dog walker sid on lead.Known to eat odd thingsOn cytopointNo known allergies to medsStill active in himselfObjective: Dog = bar Hr = 100 mucmem = pink crt =1 sec temp = 38.7cHydration = normalNormal gut soundsLimited abdominal palpation as dog is a big dog - No pain on palpation of abdomenNo areas of localised thickening No masses felt on palpation of abdomen - however unable to palpate cranial abdomen/ stomachAssessment: Discussed clinical signs with owner Discussed vomiting and ddx - discussed primary vs secondary git dsDiscussed ddx for primary git ds - gastritis, gastric foreign body and delayed gastric emptying, liner foreign body, infectious ds etc Discussed trt options1. Workup = blood test and abdominal imaging - understanding limitation of imaging with non radiodense material - eg: material etc2. Trt trial for primary gastritis but understanding caution and concerns - if dog cont to vomit - to recommend workup Owner understands caution and concernsOwner mentioned in some of the recent vomits there has been pieces from Chalrie's blanket and stringExplained we cannot rule out foreign body - string foreign body At this stage owner would like to try med trt understanding cautionTreatment: 3.8ml prevomax ( maropitant) given s/cCarafate 1gm: 1 gm mixed with water bid for 5-7 daysBland food for 3-4 days then slowly introduce normal dietStrict rest for the next few daysIf clinical signs cont, worsen or reoccur as we come off meds - to recommend recheck and workup--- 23/02/2026 11:39:44 LI:F.Up - Doing well - no vomiting since, on rice and fishSkin is a bit itchy, have been giving malaseb baths, will follow up if not getting better    Vital Signs    Weight: 36.5;       Temperature: 38.7;       HeartRate: 100;       

Reason: Cytopoint Injection With NurseHistory: Itch score  /10. Has the itch become worse recently?Other medications being used? Eg Apoquel, topical shampoos, Fuciderm/neocort etcTreatment: Cytopoint 1ml (1 vial)  of 40mg/mlPlan:repeat in 4 weeks, or as necessary.Dog has flared up since going to a kennel for 2 weeks, filled with dandruff and itchiness.Did really well with injection, loves treatsBatch: 845666    Vital Signs    Weight: 36.2;