C09978664 / invoice 10000

Reason: Recheck EarsAppointment Notes: Special payment terms existHistory:Seen 10 days ago for L OE, bloods also performed which showed mild hypercalcaemiaRecently commenced zactin - just started dosing daily. No side effects yet.Here to check ear, check AGs and complete ionised Ca2+Examine:Demeanour: BAREyes/ears/nose: greasy L ear, mild erythema and brown discharge noted. Large chunk of brown discharge in ear canal. Cytol occasional yeastLNs: peripheral WNLAGs: both full, expressed thick brown material. No lumpsMSK: ambulatory x4, no lameness, full exam not performedNeuro: normal mentation, no ataxia, full exam not performedLaboratory:Ionised calcium 1.35mmol/L (1.12 - 1.40) - WNLAssessment:Resolving OETreatment:Continue dermotic another 7 daysClipped matts from L ear. Large chunk of brown wax material removed from the L ear.Plan:R/v if any further concerns.    Vital Signs    Weight: 12.7;