C10032402 / invoice 10000

HISTORY:-Buddy has been scratching himself since day 1 arrived at O's house - not excessive initially.-O noticed that Buddy has been pulling his hair very badly last week, and biting on his skin - seems awfully itchy.-Changed the diet from beef based diet to purely kangaroo diet. O said the itchy level has dropped down frop 11/10 to 7/10 since Sunday (has been on the new diet for 5 days now).-EDUF all good. No V+/D+. O mentioned the stool quality is always good.-UTD with Nextgraud and vaccination.CURRENT DIET: Home cook roo dietPREEXISTING CONDITIONS: Pruritus CURRENT MEDICATION: NilPE:MENTATION: BART- not takenHR/CARDIAC- 120, no heart murmur or arrythmia detected RR/RESP- panting, no obvious wheeze or crackle sound detectedMM-m/pCRT-<2sLNN-wnlABD-nad, soft and comfortable on palpationBCS- 4/9OTOSCOPY/EARS: nad, clean and no discharge ORAL HEALTH: deciduous dentition EYES: clean and no discharge MSK: nad, ambulatory, full MSK examination not performed. INTEGUMENT: Multifocal poorly demarcated grey-brown macular discoloration affecting the lateral trunk, flank, inguinal region and proximal hindlimb with mild alopecia and evidence of self-trauma. UROGENITAL: nadCNS: Not routinely examinedASSESSMENT:.    Vital Signs