C09974833 / invoice 10000

Reason: Ears, Had 2 VomsAppointment Notes: mbHistory: Had 2 vomits yesterday, bile. Did eat and drink fine last night. Lethargic yesterday but better today. Bump on ear and ears quite red. Otherwise well, sometimes has soft poos. No medications at the moment. Examination: BAR, good boyOral - teeth ok, mild plaque build up caudallyEars/eyes/nose - left ear moderate erythema and licenification, mild erythema rightLNs - no peripheral lymphadenopathyCardioresp - no murmur/arrhythmia, normal bronchovesicular soundsAbdomen - soft and comfortable to palpateIntegument - lick staining FL paws otherwise NADUG - NAD externally, temp not takenNeuro/MSK - full exam not performed, ambulating wellLaboratory: Ear cytol - malassezia L>R, ~1 per HPF right and ~15 per HPF leftAssessment: Bilat OETreatment: Consent has been given by the client to proceed with this treatment  -  YesDemotic 0.7ml BID into both ears for 7 daysElocon script below - to start using once OE clearedPlan:RV in one week for re-swab. If infection clear can restart elocon. Monitor for any further vomiting, can go to maropitant injection if needed. Date:	02/03/2026Client Name:	Mr Alex Graham 	2/17 Estella Street 	GLEN IRIS VIC 3146	PH: 0493 665 841Patient Name:	Sweeney  #8121644Species:	dogGender:	MaleDOB:	15/09/2020Please supply the following to Mr Graham for the express purpose of treating Sweeney.# of items Dispensed:Rx:	Elocon lotion (mometasone furoate 0.1% w/w)Mitte:	30ml bottleDirections:                   Instill 1ml into both ears once weekly ongoing.2 REPEATSKEEP OUT OF REACH OF CHILDRENFOR ANIMAL TREATMENT ONLYVet Signature: ……………………………………….Vet Name:  Dr Elizabeth Burns V11149    Vital Signs    MMColour: Pink;       Weight: 10.1;       BodyScore: 5.5/9;       CRT: <2s;