C09977554 / invoice 10000

Hx: Patient presents for: (due for cytopoint, uncomfortable with ears (head shaking ++) and also chewing feet) , otherwise EDDU/BAR and no other concerns noted by O

PE: EYES bright , clear sclera and no inflammation of conjunctiva, ORAL exam shows no visible dental disease, CARDIAC AUSCULTATION reveals SSFP, normal rhythm and no HM, THORACIC AUSCULTATION reveals no crackles/wheezes and a normal tracheal pinch with no cough elicited, ABDOMEN is soft and palpable with no pain, LN's WNL,  UROGENITAL region including visual exam of perineum and anus WNL, palpation of joints shows normal ROM and no overt pain, NEURO: normal mentation/PLR/menace response, full neuro exam not performed. Rectal not performed.

ABNORMALITIES: (RF hyperaemix and moist, minimal discharge from ears but uncomfortable on ear canal palpation)

Lab: bilateral cocci +++++ per HFF ears

Tx: (repeat script for itraconazole( see below), tapering pred , cytopint 80m S/C and easotic SID both ears 5 days)

Recommendations: (RC INI)

______________________________________________________________________________________
Script for Medications

Please prepare the following medications:

Date:			03/03/26

Owner:		Amy Thomasson		

Address:		19 Macaree Street, Berserker, Qld 4701

		    		
Phone:		0434205294					
		
Patient:		"Zeus"	2yo Male neutered Neapolitan Mastiff			

Drug to be Prepared:	Itraconazole 100mg x 90 capsules

			
Directions for Use: Give 3 capsules ONCE daily for 20 days; then 3 capsules, ONCE daily every Saturday and Sunday.


Repeats: 1			
		

Consulting Veterinarian Name: Dr Kirsty Downing BVSc  (QLD Vet Surg No 6873)

Consulting Veterinarian Signature:					


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