C10029202 / invoice 10000

Reason: Rash WorseAppointment Notes: LIHistory:New pustular lesions have appeared under the neck and over the shoulder, while previous lesions are improving but also expangingNo other signs of being unwell.Hasn't been able to get the chlrohex on all the areas as hairedExamination:Some distreet small scabs under the jaw and L shoulder. The collarettes central abdo are healing but there are fresh lesions with pus present inguinally.Some matted fur ("dreadlocks") clipped off vulva (not inflamed here)Eyes normalAssessment:Appropriate to move to oral abcs for the pyodermaPlan:Dispensed Cephalexin 500mg. Administer half a tablet twice daily with food for 10 days.Counselled owner on potential side effects including vomiting or diarrhoea.Demonstrated how to administer the tablet orally.Recommended considering oral essential fatty acids and specific shampoos/conditioners to improve the skin barrier if the infection recurs.Recheck consultation scheduled for 24/03/2026 at 5:00 PM to assess treatment DURATION (start w 12d)    Vital Signs    Weight: 20.6;