C10024639 / invoice 10000

Reason: SkinReturn of superficial pyoderma in the groin, owner has been using isaderm but has finished all the cream.Treatment: isaderm BID. Suggest using malaseb shampoo in the groin once weekly in conjunction with the isaderm. Discuss use of Pyohex leave in conditioner.    Vital Signs    Weight: 40.8;       MMColour: pink and moist;       BodyScore: 7/10;       RespirationRate: panting;           Examination (Physical)    Eyes: normal;       LN: peripheral nodes normal;       GIT: no gut issues;       Skin: see history;       Resp: normal rate and depth;       Cardiac: normal sounds and rate;       Neuro: b&a;       Mobility : good;       Genito/Urinary: no issues;