C09971618 / invoice 10000

Reason: Ear Infection MM Appointment Notes: > call natalie - available all daySore ears for a few days.Won't let o touch or medicate them - growls and grumpy.Holding R ear very low, left not as bad.No smellNo skin rashes or lesions.EDDU okNo current medications.Very smart boy.Very guarded about ears and head.Was able to get a very superficial swab from each ear -BAR, BCS 2.5/5Vitals: WNLRr 26, eupnoeaEyes - NADEars: unable to scope and assessCytology - Right Yeast++ >50/hpfLeft yeast+ >10/hpf.Nose NADOral: Grade 0 Skin: NADOtitis R>L+ head shy and painful.Pred - tapering dose 10mg BID x 7 days then SID x 7 days then 5mg SID x 7 days then stop.Chill pill for revisit and attempt medications - neptra if possible?Suspect will require dom/butorphanol sedation if still too reactive.    Vital Signs    Weight: 35;