C10024759 / invoice 30000

Reason: LeptoHistory: O presenting for lepto vaccination and investigation of lump on RHL.EDUF normal. No V+, D+, coughing or sneezing in the last week. Had D+ a week ago that lasted for a week, has resolved and then no issues since.Parasite control: NexGard Spectra - recommended tapewormer and O agreedExamine:Unable to examine Charlie - extremely anxious and resistant to being touched.Eventually able to restrain and FNA lump:- Pedunculated ~5cm x 5cm, black, firm lumpLaboratory: Lump FNA???Assessment:Healthy and ok to vaccinateTreatment: Protech C2i administered intrascapular SCPlan: Next Lepto due in 1 year    Vital Signs    Weight: 38.5;       

Reason: Hot SpotExamine: Hot spot on lateral L stifle area- appeared yesterday. He is licking it +++Needed 3 holders to clip and clean- it is about 8cm diam.Cleaned with chlorhex hereRest of skin ok, inner pinnae have some pink spots.Plan: O to put on buter collar at home for the next few days,  O will use saline and neocort at home bid, gave 1st Apoquel here, to use Apoquel and amoxyclav bid 5d, then Apoquel sid another 4d.O to bath more freq- he gets washed about once a month. Suggested malaseb baths ev 2 wk in hot weather.    Vital Signs    Weight: 38.9;       

Reason: Hotspot On TailHistory:A couple of days ago, started licking and chewing at it.Came home Monday, very red and inflamed.Has been licking at itOtherwise wellEDDU okNo v/d/c/sExamine: BAR, very boisterous and barks in consultMM pink, moist, CRT <2sTail R base - scabby and inflamed - clipped and cleaned with chlorhexidineAssessment: Pyotraumatic dermatitis Plan: Start:Neocort topical BID for 10 daysCephalexin 750mg PO BID for 14 daysPred 20mg PO SID for 3 daysRecheck in 14 days    Vital Signs