C09974084 / invoice 10000

Reason: O Thinks Other Ear Now Infected JtHistory:Had an ear infection in jan Using the ear cleaner helped for a bit then got worse Shaking head alot, ear red and has discharge R ear EDDU nromally No v/d/c/s .Examination:BAR MM pink and moist, CRT <2 sec HR WNL, no murmur detected RR WNL, chest clear Abdominal palpation NAD  soft and comfy Dentition good Ears-              Appearance: L NSF, R mild erythema + yellow discharge from ear -              Otoscope exam: unable to do - too bouncy -              Cytology: L NSF, R cocci +++ rods + Assessment:Otitis externaTreatment:Ears cleaned in consult Easotic SID Plan:Recheck in 7- 10 days    Vital Signs    Weight: 27.9;