C09979154 / invoice 10000

Ear infx
History:
EDDU well. No CSVD.
O reported head shaking and itching R ear .

Exam:
BAR, BCS: 5/9
Eyes: nad
Ears: nad
Mouth: pink MM, CRT<2s, grade 1/4 teeth 
CVS: HR 124 bpm, no murmur or arrhythmias detected
Resp: RR wnl, no abnormal lung sounds
Abdo: abdomen comfortable upon palpation
M/S: nad
Skin: nad, good hydration
Temp: Not taken

Assessment: 
Cytology: R ear yeast +++, L ear: nad

Plan: 
Dermotic, continue ear cleaner o has at home

AG called for update on Calvin and Amry after yesterdat.

Calvin is still happy and walking fine. Bandage is still on and hasn't bled through at all. O going to remove early afternoon today.

Mary said she has quite a large bruise on her head and knuckles are still very sore, but says she is okay and is more concerned about Calvin. 

If Calvin's nail bleeds after removal of the bandage, Mary will call and bring him in.

Was very greatful for the care given to herself and Calvin yesterday and for the check up call.

OS update: 4:10pm 
Still worried cause bandage looked wet, advise to take off and look underneath if any concerns call back 

nurse- owner coming down- cut nail too short

owner very worried OTP, was trimming his nails and he jumped
- owner ran into door and cut her head open and hands. - advised to ensure she is okay to drive and if so can bring calvin straight down. assured her calvin will be okay 

owner came down- calvin very wriggly when foot being touched as expected, attempted silver nitrate stick- unsuccessful, applied pressure to stop bleeding and applied bandage- minimal product used, melalin, sofban and vetwrap. advised to keep bandage on until morning then call us if any concerns or if hes bothered. Adv if bleeds thru bandage to call us. adv to put on ecollar if he tries to get at bandage or licks

left note for nurse to call for update in morning