C10026418 / invoice 10000

Reason: Vaccination & Health Check, Apoquel KbAppointment Notes: ------- Sms reply: YHistory:- Presented for KC vaccination, needs more Apoquel- recently had hookworm (tapeworm?) infestation causing chronic diarrhoea - has been treated at NDAH for thisParasite prevention: Simparica Trio, plus now monthly - 3 monthly allwormerCurrent medications: Apoquel,16mg SID, particularly during summer. Examination:HR: 100RR: pantBCS : 3/5Mentation: BAROral   DS: mm pink, moist, CRT < 2s, O lifting her lip for meEars: NADEyes: cornea clear, no dischargeCardioresp: no heart murmur, no arrhythmia, normal resp sounds and effortGI: soft, not painfulUrogenital: mild dermatitis vulval foldSkin: NADLymph nodes: external ones WNLMusculoskeletal: gait normal spine NADNeuro: no obvious neurological deficitsBehaviour: nervous  PROBLEM LIST:- Atopy/environmental allergies - managed well on Apoquel- vulval fold dermatitis: recommend cleaning regularly with baby wipe or wound cleaning wipe- otherwise clinically wellTreatment:Protech Pi2 (# 5264019) s.c.Brand: Vanguard B oralBatch #: 803220dispense ApoquelConsent has been given by the client to proceed with this treatment  -  Yes Plan:    Vital Signs    Weight: 30.8;