C09971890 / invoice 10000

Reason: Wants Cytopoint And Check Ears Appointment Notes: Flinders View Veterinary surgeonVETSTORIA - (New client) - Sheila (Dog) - Ngaire Chadwick - 0475304053 - Consultation [Veterinarian : Dr Edmund Daubaras(No Preference)] - Recent move from QLD. In need of cytopoint injection and probable ear infection. -Web BookingClient name: Ngaire ChadwickContact number: 0475304053Email address: ngaire_chadwick@hotmail.comPatient name: Sheila  ------- Sms reply: YesPATIENT:Sheila2 years 11 monthsFemale, spayedWeight: 17.5 kgReason: Cytopoint recheck and ear issuesHistory:Sheila is a 2 year 11 month old Australian Labradoodle presented today for Cytopoint recheck and ear issues. Owner reports ears have not been cleaned as regularly due to recent move from Queensland to Sydney at the start of the month. Sheila loves water and swims frequently. Discharge is worse when Cytopoint is overdue. Currently experiencing loose stools - suspected due to eating chicken feed from partner's chickens. Has food allergies (unknown specific allergen), diet restricted to kangaroo and duck. Previous anal gland issues resolved with diet change. Was scooting slightly when had chicken while staying with mother-in-law during move. Allergies appear worse in NSW/Victoria compared to Queensland.Current medications: Dermotic ear drops, Cytopoint (overdue)Examination:Vitals:    - Weight: 17.5 kgPhysical Exam:    - General Appearance: Body condition excellent    - EENT: Eyelids slightly reduced, nose normal    - Oral Cavity: Teeth not great, not bad    - Integument: Right ear - pinna greener from outside, ear canal appears okay. Left ear - less affected, ear canal okay. Two stitches removed from previous procedure    - Abdomen/GI: No anal gland issues currentlyASSESSMENT:Allergic dermatitis with secondary otitis externaCytopoint overduePLAN:Diagnostic/Treatment Plan: Cytopoint 30 mg (2 mg/kg dose) administered. Ear plucking performed. Ears cleaned externally. Antibacterial/anti-inflammatory gel applied to ears. Recheck in 1 weekRecommendations: Avoid water exposure. Continue ear cleaning at home. Ear plucking to be performed by owner going forward. Continue restricted diet (kangaroo, duck). Avoid chicken feed    Vital Signs    Weight: 17.55;