C09972706 / invoice 10000

Appointment Reason: Ear problem, Appointment Notes: Shaking head, red ears and dry retching since yest, otherwise well.History: swims at beach every dayhavn't been cleaning with the otoflushretching. does play with other dogs at the beach. allergy - sensitive to chicken, beef can have fish, kangaroo and crocodile. head shaking, previous ear infections treated. Examination: no tracheal sensitivityLaboratory:Ear cytology:L ear:R ear:Assessment:External Prescription Details:  Medication, strength and form & flavour: Elocon lotion 0.1%Number or volume: 30mlsRepeats: 3Scanned to file:  YDirected to Pharmacy (name) OR client (not both): clientAssessment: inflamed ear, no evidence of infection. retching could be KC or salt water ingestion, may not be an ongoing concern, monitor for now. Plan: monitor retching, may self resolve, could be just from salt water ingestion? mild KC? elocon lotion for ears to help prevent infections may have underlying atopy.     Vital Signs    Weight: 26.9;