C09975817 / invoice 10000

Reason: purritic ears History: Health statusEDDU - normal no vomiting or diarrehoa recnet new salmon protein kibble  current/prev meds - none current diet - mixture of different proteins Exam: BARBCS goodmm pink & moistrefill gooddental dz grade /4Eyes NADEars markedly inflamed pinna b8ilaterally, wth R>L, no evidence of brown discharge - swabbed both sides with cottontip- clear CVE No heart murmur lung fields clear in all 4 quads respiratory tract  lung fields clear, no stertor no wheezes  abd palp NADLnn NADMS exam NADdermis NADtemp = not perfored Assessment: given recent chnage in dietary protein, food allergy most likely CYtology of both ears - no cocci no rods  Treatment: 6week strict food trial with novel protein- PRime 100 Crocodile oat,meal shamoo to help with skin barier Plan: Recheck within the next week if skin is worse. Advied will take up to 4 weeks to see an improvement with skin  allergies 

administered 2nd lepto vacc today Batch No A002A03  Exp 06-2026also emptied anal glands - both quite full 

History Increasingly reactive but has always been reactiveLH lame occasionally last few daysLicking around his bottomScooting - history of AG impactions.ObjectiveBARmm pink CRT  1sHR 96, thoracic ausc NADSl under conditionGreat teethspinal palp and musculoskeletal exam HLs NADLN NADTreatmentBbPiLEP 1stBQProheart injectionDisp Fenpral wormerEmpty AG'sPlanLEP 2nd in 4 weeksEmpty AG's q 3m ongoing.