C09972217 / invoice 10000

Reason: Otitis externa bilateral L > R Consult with => Camilla History:LEFT ear > R ear Subjective: Worming = due Heartworm = Proheart inj Flea/Tick prevention = Quantam Diet = butchers dog + veg TEMPERAMENT:Objective: BARBCS   out of 9MCS OK Heart fine, nil murmurDentition check - grade 0 Lumps/ bumps - small skin lesion behind left ear pinnae Skin/ ear/ eye check - LEFT ear otitis - eyes a bit weepy in the morning Assessment: healthy dogPlan:A better candidate for mometamax but would need sedation to facilitate cleaning of the ears first Estimate to send for preapprovalPreds in the meantime 30mgs SID x 3 days20mgs SID 20mgs EOD    Vital Signs    Weight: 36.1;