C09975083 / invoice 10000

Appointment Notes: vacc GR cm 29.6kgReason: Vaccination C5 Over last week or so has started to seem hungrier EDDU normal - car sickness still there UTD NGSSwims a little over summer period but not dunking head underObjective:BAR pink mm crt <2sec ears: bilateral brown discharge +++, yeast +++ cocci ++ in both ears TM intact, R canal more inflamed than L Heart wnl no murmur or arrhythmia 88bpm resp wnl abdomen soft and comfortable MSK wnl Skin wnl BCS 6/9 Assessment:Healthy to vaccinate bilateral otitis externa Plan:Vaccination C5Ears flushed w saline then scoped TM intact Mometamax ultra applied to both ears - recheck 4 weeks pred 10mg SID for 8 days then EOD Gave O handout on ear infections - may be allergy link     Vital Signs    Weight: 29.6;