C09971684 / invoice 10000

Appointment Notes: earsHistory:Presented due to smelly ears. Has also been head shaking. Not scratching though.EDDU normally. No vomiting or diarrhoea.UTD with Simparica Trio.Examination:Ears - mod-large amount of brown discharge in both ears. Left ear - mild erythema on pinna and mild discomfort on swabbing. Unable to observe tympanic membrane due to behaviour. Very arousable today - excitable chomping and jumping.Cytology: malassezia +++ in both earsTreatment:Otoflush - to clean ears 1-2 times weekly for the next few weeksDermotic BID for 2-3 weeksPlan:Recheck in 2-3 weeks/ when meds run out for repeat ear cytology    Vital Signs    Weight: 33.8;       MMColour: Pink;       Demeanour: BAR;       BodyScore: 6;       CRT: 1-2;