C09977684 / invoice 10000

Reason: Sore Ears EryHistory: during the recent vaccination vet recommended cleansing ears with epiotic as they were dirty. Owner has used epiotic at home and the dog was uncomfortable after the cleansing. Started scratching ears and now the ears are red and have yeasty smellExamine:Eyes/ears:both ears have OE and yeasty smell. Worse in the right earTeeth/mouth: NADChest:NADAbdomen:NADUrogenital:NADDigestive:NADLymph nodes:NADSkin: NADLocomotion:NADNervous System: not assessedDifferential diagnosis:OE( infectious vs inflammatory)TraumaHypersensitivityLaboratory:  Type: ear swabTest:cytologyResults: right ear- ++malassezia  a few cocci , left ear- none Removed dirt from ears with salinePlan: Dermotic 0.5ml BID for 14 daysRecheck in 2 weeks    Vital Signs    MMColour: pink;       HeartRate: 124;       BodyScore: 5/9;       CRT: <2;