C10023336 / invoice 10000

Doing well. Ventral rash cleared uEars better but difficult to cleanL ear fineRt much better but wax caught in furClean upO to do same biweeklyRV in 1 monthNb in season now, under clause with breeder    Vital Signs    Weight: 17.9;       

Appointment Notes: rash on her tummy + nailssd 3/3/26Been well in se3lf. Timid but friendly doggy.Went to groomer last week. Developed nasty ventral rash. Diet changed prime puppy to another chicken based roll and kibble. Access to couch grass etc.Some face rubing, ear rubbing, not foot licking.Not on meds, well in selfTPR NAD, systems exam good except earsMild-modreate otitis externa esp superficially ventral folds and pinnaeCYTOLOGY- epith ++, yeat +++, occ coociNasty venetral dermatitis- abd, groin, pustular, poss allergy/clipper rashStart meds, RV in 1 week    Vital Signs    Weight: 17.6;       

Reason: Recheck - TB 14.1.26Super quick eyeball to check eyelid healed/near resolution. O reports nearly resolved, nearly finished meds, hasn't needed j/k for past few days.Looking great, nearly resolved. Finish remaining Abs and no need further r/v if cont to do well.Authorised 50% charge today given only a quick eyeball visit and O had been waiting in reception due to prolonged prior consult.    Vital Signs