C10032025 / invoice 10000

Hx --Eating and drinking a lot of more O has noticed -Ziwi peak venison, sardines. Gets frontier food from Sydney chicken and roo, no beef-O wants him to lose some weight, but O likes giving him treats-Not limping at all, not licking his LFL paw persistently either anymore -Licking all over in general -O happy with how he is goingCE:- Eyes/ears/mouth: Eyes NAD but some clear ocular discharge bilaterally, very mild. Ears NAD. Mouth mm pink, moist, CRT <2s, gr1 dental dz- CVS: NAD, HR 100bpm- Abdo: Soft and comfortable - Temp: NA- M/S: Good mobility during consult - Integument: Healthy coat, LFL dermatitis has resolved, a little scab but otherwise no inflammation or discharge!- Other: NAA - Pododermatitis has resolved, looking really healthyRx & Plan - -Finish the course of medications, almost done-O will give some greek yogurt for the probiotics after the Ab-O will monitor allergies at home, usually improves coming into the winter months. Otherwise, informed O we have options like cytopoint or apoquel we can try-Recommended mixing some SD perfect weight dry food as half of the dry food being fed if O would like to try and get some weight off him. He is 5/9, but having him a little leaner would be perfectly fine too.

Hx -EDDU normalUTD with nexgard spectraActiveNo V+ or D+Only pet in householdO noticed couple days agoHas history of being treated for allergies, has been given cytopoint beforeCE:- Eyes/ears/mouth: Bilateral purulent occular discharge and mildly hyperaemic sclera and periocular alopecia. No eye ulcers seen. Ears both red pinna. Mouth Gr1 dental dz, mm pink, moist, CRT <2s- CVS: NAD, HR 104bpm- Abdo: Comfortable upon palpation- Temp: NA- M/S: Limping on LFL- Integument: Pododermatitis, red, moist, purulent discharge i the interdigital spaces and around the metacarpal pad on the LFL. Other three paws have red interdigital spaces.- Other: NAA - Infected pododermatitis on the left fore paw and bilateral conjunctivitis. Rx & Plan - -Revisit in 7d after a week of Ab and steroids -Told O to stop licking with a cone and to allow him to rest a bit-Has amacin at home, treat both eyes as label instructs, O has from last visit and happy for same instructions to be followed-Inform O if she wishes to try Zirtec at home, it would be 2 tablets once a day-Likely an allergy dog, informed O will discuss long-term allergy treatments at recheck

Hx - LH paw has been funny, o advise he growled at carer the other day when she tried to look at her foot. does occ lick that foot, no lameness and no yelping. Has never had any issues.Bar, eddu fine otherwiseCE:- Eyes/ears/mouth: nad - CVS: no murmur, lungs clear - Abdo: comfortable- Temp: 38- M/S: ambulatory- Integument: mild abrasion between digit 1-2 LH paw. No pain, doesn't like feet touch, kicks like a horse. DIdn't growl- Other: A - Likely a superficial dermatitis reaction - old abrasion/ contact allergy, no rednessno lameness and no wounds/ heat or swellingRx & Plan - Monitor- o thought was grass seed but unlikely given the symptoms if not improving or lameness present to revisit