C10026826 / invoice 30000

Reason: Sy neocort    Vital Signs    

Rx: carprofen 50mgMitte 100Sig 1 sid    Vital Signs    

Reason: Skin LesionsAppointment Notes: on legs, chewing at them + red. O is away, brought in by O's parents RCHistory: Brought in by Paul's parents as Paul has gone away on holiday yesterday for 9 days. Client noticed him licking at his body and there are a few red, hairless skin lesions now. He goes to the beach most days.Examine: Cranial Left stifle and right prescap area mild hotspots with alopecia, erythema and mildly excoriated with very small amounts of purulent material. These were the only two we could find today but client said he had found about 5 prior to coming in, however the others were much less obvious than the two I looked at.Assessment: Hotspots. May be linked to his immune issues (DLE) Plan: Cephalexin course.Neocort to affected areas bid.No steroids as he is on longterm NSAIDS for chronic back pain.    Vital Signs    Weight: 35.1;