C10026552 / invoice 10000

Reason: Has Been Sick Last Couple Of Days - ABAppointment Notes: is now pooing black, was in the groomers last friday and sibling has it aswell but she is better  - ABHistory:Lethargic and not keen on breakky WednesdayOff food again Wed pmJilly was the same - picked up and back to normal for her yesterdayBear still off food yesterday - has had dark diarrhoea Did sit and eat some roast chicken last night - has started drinking and not vomited - O feels he is unable to V+ due to inability to vomit due to collapsing tracheaHad de-shed and were told had skin irritation - has scabs all over Worming/Heartworm/Flea control status:Vaccination status:Nutrition:Examination:QARCOAT/SKIN: crusting lesions all over his dorsal neck, backline, hips - multifocal, erythematous, mildly painful. Crusts removed and lesions squeezed for tape cytology.EYES/EARS: Clear MOUTH/TEETH: Gums slightly injected, CRT < 1.5HEART: HR 120 with normal rhythm - reffered URT soundsLUNGS: Referred URT soundsABDOMEN/DIGESTIVE/URINARY: Clipped around back endCNS/MUSCULOSKELETAL: PERIPHERAL LYMPH NODES: No abnWEIGHT/DIET: Body Condition Score: 5/9REPRODUCTIVE: Assessment:Post-grooming folliculutis vs mild furunculosisLaboratory:  Sticky tape prpe showed neuts +++, rare cocci, no significant rods or yeastTreatment:Amoxiclav BID 2 weeks in case pseudomonas - even though not seen on tape preps, more commonly associated with post-grooming furunculosis so better option than cephlex in this case. Plan:2 weeks of amoxi-clav5 days of apoquel to help with itch reduction.    Vital Signs    Weight: 39.3;