C09973271 / invoice 10000

Reason: Infection / EarAppointment Notes: Paws App Details:Booking Type: Consult - Complex Booking Vet: - Any -Booking Notes: Ear Infection ? - Brown gunk, minor discomfort at this time.Scratching at L ear last few days, not an pruritic dog, not been swimming. Otherwise well DUDE normally no v/d/c/sExam:L ear pinna erythema, brown ceruminous dischargeYeasty smell+++ yeast present Ears cleaned in consult, PMP BID tgh with    Vital Signs    Weight: 6.3;       

Original Vet : Rohan SmithNo concerns, been flapping L ear. Otherwise nil concernsL ear yeast ++R ear nadProheart SR12 annual inj[  0.32 ]ml given by SC injectionDue 12 mths booster-------------------- Fees Charged: --------------------12 Month Proheart Reminder Qty: 1 - $0.00PMP Ear/Skin Supension (Waggs And Purr) 20ML Qty: 1 - $54.50PROHEART SR-12 LRG 40ML (40) Qty: 0.315 - $88.00    Vital Signs    Weight: 6.3;       

Original Vet : Althea BowdenReason: Yearly Check + CoughAppointment Notes: online booking SW  ------- Sms reply: YDue for annual vaccination and check up EDDU no CSVD Owner concerns: NILParasitic prevention: Advocate- previously on proheart but O not wanting to use proheart while using advocate. Disucssed lack of prevention for paralysis ticks in this area Diet: Royal canin kibble and home cooked veg and meat mix Dental condition    2/4MM pink and moist CRT <2s BCS     3.5/5Eyes clean, clear and visual Ears clear of discharge and inflammation Skin and coat smooth with no evidence of itch or irritation HR _124__ no murmur or arrythmia noted. RR _pant __ Lung fields auscultate mildly harsh- Hx of hacking cough. No reaction on tracheal pressure  Abdomen palpates soft and pliable with no focal pain or mass Hips extend comfortably Stifles - right stable. Left grade2 MPL with crepitus. Monitor and if any lameness or deterioration to g3 plan surgery Temp: _39.0 __Given dexafort and dispensed doxcycline for cough Likley allergic bronchitis O has recently moved from WA to this area and season is very allergic currently-------------------- Fees Charged: --------------------Doxycycline 50mg Tab Qty: 7 - $31.20  Consultation Qty: 1 - $86.00DEXAFORT INJECTION 3MG/ML Qty: 0.5 - $33.90    Vital Signs    Weight: 0;