C09977954 / invoice 10000

Appointment Notes: Mabel (Dog) - Consultation [Clinician : Dr. Ella Hodgen (Preferred Clinician)] - Follow up for anxiety medicationWeb BookingClient name: Ella MaegraithContact number: 0424101917Email address: ellajames96@gmail.comPatient name: MabelHistory: Behaviour improved, less reactive to other dog and when around female O sometimes going at other dog but not as frequently and not a intense better since baby arrived noticed change quite soon after getting meds fine with new people in the house too EDDU all normal Groomed recently and they noted ears waxy, has also been shaking head and sore when they touch them Assessment: Well on fluox - under 1mg /kg so will increase to 20mg SID (if SE O happy to do 3/4) Otitis externa Treatment: Increase to 20mg fluoxetine SID Laboratory: Ear cytology L and R ear rods ++++, WBCs, RBCs, cocci ++Ear canals moist, black wax, unable to visualise TM Plan: Unable to confirm TM intact, need to use otomax (rods), booked in for sedate, ear flush, check TM intact and then can put in 0.5ml otomax per ear. Advised not to feed breaky tomorrow Monitor for SE with new fluox dose (esp first 2 weeks of changing meds)     Vital Signs    Weight: 13;       MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Abnormal (Painful to scope, unable to visualise TM - build up of black wax in both ear canals. Both ear canals moist and erythematous. );       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       Demeanour: BAR;       Hydration: Normal;       HeartRate: 110;       RespirationRate: 28;       BodyScore: 6;       CRT: 1-2;