C09973977 / invoice 10000

**S** Annabelle - 6yo9m FS Eng staffy Presented for suspected ear infection - has had irritated ears for past week or so. has had this issue previously. shaking head and scratching, mild smell and discharge. has been otherwise well at home,. eddu wnl no v+/d+- PREVENTATIVES: utd with vacc and preventatives - DIET: dry adult biscuits - no change in diet - MEDICATIONS none**O** Demeanour : barMM : pink, crt<2Dental disease: 1 /4 Calculus, 0/4 Gingivitis - Overall ->1/4 Eyes: clear and clean bilat, no discharge Ears: dark smelly discharge bilat, mildly erythematous bilat in both ear canals, stenotic ear canals bilat LN: soft and wnl HR: 100, ssfp, no murmurs or arrythmias, RR: pant, clear bv sounds bilat Integ: no significant findings MSK: ambulating well in consult, full ROM in hips and stifles abdo palp: soft and comfortable on palpation BCS: 5/9Temp: deferred**A** - ear cytology - malassezia ++ bilat**P** Client Communication / Options Discussed with Owner  tgh with pred 20mg x half a tab oid for 5 days then EOD until finishedtgh with pmp ointment to apply 0.7ml BID for 10 days revisit and repeat cytology in 14 days RW    Vital Signs