C10032086 / invoice 10000

Reason: NPC - Referral for alopecia treatment (MM)Appointment Notes: Lex (Dog) - Consultation - sickness/injury (new issue) [Veterinarian : Dr Lisa Bennett(No Preference)] - Referral for alopecia treatmentWeb BookingClient name: Rebecca EatherContact number: 0430088907Email address: becka.lawrence@hotmail.comPatient name: LexHistory:Presenting for: Lex presented for worsening hair loss that was first noticed at approximately one year of age and is progressively spreading.Historical Conditions: Previous skin scraping and hair pluck performed by Iris last year who diagnosed colour dilution alopeciaSkin: Hair loss first noticed at approximately one year of age, progressively worsening and spreadingCurrent Meds: Bravecto up to dateExamination:Mentation: BARBehavioural: Ate chicken treats during examinationIntegumentary: Hair pluck performed showing clumping of melanocytes consistent with colour dilution alopeciaSkin scrape -ve for mitesAssessment:Colour dilution alopecia - Hair pluck findings consistent with this diagnosis, though dermatology referral recommended for confirmation and to rule out other contributing factors such as hypothyroidismPlan:Diagnostics:- Blood work submitted to IDEXX to rule out hypothyroidism and other metabolic conditions - results expected overnight or by Monday morningAdditional Discussion:- Referral to dermatologist Linda at SASH North Ryde (available Tuesdays and Fridays) recommended for specialist evaluation - If colour dilution alopecia confirmed, no specific treatment available but dermatologist may have supportive care recommendations- Discussed need to monitor skin for lesions due to increased melanoma risk- Sun protection measures may be recommended if condition progressesClient Comms:- Will call with blood results if available tomorrow, otherwise results will be ready Monday morning- Client to contact SASH to arrange dermatology appointment- All files and blood results will be forwarded directly to dermatologist    Vital Signs