C09971739 / invoice 10000

Reason: Ear Infection - Both Appointment Notes: sg- No other issuesHistory:- Bilateral ear infection, recurrent issue. Owner (Justin) familiar with signs and presents early.- Significant discharge present in both ears. Ears not super angry looking but definite infection present.- Caught early this time.Past Medical History:- Recurrent ear infections- Not currently on MetacamPhysical Examination:- Bilateral ear discharge- Ears not severely inflamed- Infection present bilaterallyInvestigations:- Ear swab cytology: yeast present, no resistant bacteria, not heavy growthImpression & Plan:1. Bilateral otitis externa - yeast- Early stage infection, caught early- Ear drops with cortisone: 1ml each ear twice daily for 7 days- Otocort ear flush: twice in the next week, apply with syringe, massage 30 seconds, wipe excess with cotton ball- Separate syringes for each ear to prevent cross-contamination- Rinse syringe with hot water after use- Ear drops may cause oily residue around ears - will resolve with bathing- Metacam only if painful, otherwise topical cortisone in drops sufficient- After water exposure (bathing, swimming, puddles): flush ears to prevent water stagnation- Recheck in 7 days to assess resolution before stopping medication---Patient Summary:Ace has a yeast infection in both ears, caught early. Ear drops and ear flush have been prescribed.- Apply ear drops 1ml each ear twice daily for 7 days- Clean ears with flush twice in the next week- Flush ears after any water contact- Return in 7 days for recheckKey Takeaways:- Ear drops twice daily to both ears- Ear flush twice this week- Clean ears after water exposureNext Steps:- Recheck appointment booked for Thursday at 2:20pm in 7 days to assess if infection has cleared before stopping medication.    Vital Signs