C09970152 / invoice 10000

Reason: Senior Health Consult + Ear Infection + Cytopoint Appointment Notes: nailsHistory: Has chronic ear infectionsOn elacon Has chronic skin issues Lost other dog recently. Mother dogsMore lethargic EDUD normallyChanged diet recently. Some mucous following Couple of v+. Couple of weeks ago No coughing or sneezing Mobility declining No current medications Examination: BAR MM pink and moistVitals wnlChest clearAbdo okLN nad MSK nad Integument:- Significant inflammation of paws- Small 2cm deep soft dermal mass ventral thorax Ears: mild discharge bilaterallyCytology (ear): occasional yeast (<4 per HPF)Cytology (skin): + cocci, some intracellular. Occasional yeastAssessment: Chronic skin issues/atopic dermatitis Plan:Prednislone 20mg tapering courseCephalexin 1000mg BID 10 days Malaseb wash twice weeklyRecheck 2 weeks + cytopointO to monitor lump, if grows/chanegs recommended FNA. O declined FNA today--- 27/02/2026 6:36:53 PM EBPCV 50% clearOnly dew claws needed clipping    Vital Signs    Weight: 41;