C09978240 / invoice 10000

Reason: Ongoing Ear Issues + Lepto BoosterAppointment Notes: KAHistory: Current meds:  IncurinUsed otoflush for last 3 days in L ear - owner thinks is getting worse- irritated by L ear EDDUAlso due lepto vax today Examine: 1. BCS:     3/52. Integument: nad3. Musculoskeletal: nad 4. Teeth: nad 5. Eyes: nad 6. Ears: Left: sig inflammation of pinna, yeasty smell, mild brown waxy discharge Right: nad 7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   nad  9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad ->11a Anal Sacs: not examined 12. Behaviour: 13. Other: laboratory: Cytology of L ear swab: 1+ yeast Treatment: Cleaned L ear with sonotixMSD (Nobivac) Lepto 2 Diagnosis: Otitis externa of L ear with yeast infection - sig inflammation of pinna - recommend short steroid course to get on top of Plan:Dermotic 0.5ml in L ear BID for 7 days, followed by recheck Pred 10mg PO SID for 4 days Next due lepto in 12 months    Vital Signs    Weight: 13.3;