C09977334 / invoice 10000

Reason: Sed, Flush Ears JUAppointment Notes: Overdue remindersSedation given 0.45ml butorphanol and 0.15ml medet, difficult to restrain so syspect most went SCRequired 0.05ml medet IV top up for procedure- sufficient sedation when combined with mild restraint Examine both ears - L ear - mild waxy discharge and erythema, doesn't require cleaning, instilled mometamax ultraR ear- mod erythema and mild-mod brown waxy discharge, larger lump adj to ear drum. Cleaned with Epiotic-SIS and instilled mometamax ultra Expressed AGs as she voluntarily partially expressed them during restraint. Liquid contents, L cream coloured, R side brown Clipped nails    Vital Signs    Weight: 14;       

Reason: Check Ears and vaccination  <VMAppointment Notes: Tawny (Dog) - Vaccination/Health Check [Clinician : Dr Juliet Smithyman (Preferred Clinician)] - Annual vaccinationsWeb BookingClient name: Janie Joynton-SmithContact number: 0429960587Email address: janiejoyntonsmith@gmail.comPatient name: TawnyHistory: flapping ears and O thinks they are smelly, worried about ear infection. Otherwise no reported problems.  Current medication: 100mg gaba and 100mg traz prior to vet visitExamine: likes treats and pats but resents restraint and injections, difficult to ex ears. - body condition- normal- chest ausc NAD- abdo palpation NAD- skin/coat- NAD- eyes- NAD- ears- mild erythema L ear, mod erythema R ear. Very difficult to examine ears, unable to scope. Swab taken- mild malassezia infection. - limbs NAD- periph LNs NAD- checked teeth- dental grade 0Assessment: ideally need to scope ears and clean them prior to topical meds, O will be unable to admin topical ear meds at home so recommend book in for sedate, scope ears, clean ears, admin mometamax. Can clip nails at same time.   ok for vaccProtech Pi2Protech C2iProtech bronchishield oral    Vital Signs