C10023126 / invoice 10000

Appointment Notes: skin again, will collect zenrelia koSkin very inflamed/red raw currently. erythemic ventral abdomen, feet, axilla. Skin folds in axilla inflamed and "grey" hyperpigmented colourEars moderately waxy and inflamed. Plan -short course of cephalexin as suspicious secondary pyoderma axillamometamax ultra seems most effective for earsEars cleaned in consult and 0.8mL instilled both sidesCommence Zenrelia trial - 30mg sid x 30 days initially. (2 x 15mg tablets sid)Borderline dose range. Could try dropping to 1.5 tablets if doing well. Okay to collect more Zenrelia in next 6 months as needed.     Vital Signs    Weight: 37.4;