C10026333 / invoice 10000

Reason: Very Itchy Vulva - With SJDHistory:O worried is sore near vulva, seems to be constantly licking the area. Appetite normal; no d+ etc ut not gaining wt?Examination:Brief assessment performed as appropriate for visit.Demeanour: QARBrief exam findings: Weight 2.3 kg (previously 2.6 kg), BCS 4/9. Recessed vulva with mild perivulval dermatitis and trapped debris. No discharge form vulva and no moisture perivulval.Swab taken in perivulvar foldNo further CE as anxiousAssessment:Perivulval dermatitis secondary to conformational abnormality (recessed vulva). Patient currently stableSuperficial yeast and bacteriaTreatment:Cleansed areaPMP topicalDiscussed importance of hygiene, including keeping the area clean and dry. Plan:Transition to an adult diet and monitor weight. Recheck in one week. Return if condition deteriorates or as discussed.    Vital Signs    Weight: 2.3;