C09979552 / invoice 10000

Reason: Ear Infection (CN) Appointment Notes: Overdue remindersReason: History: recurrent ear infections. Use otoflsuh with dex solution. EDDU ok. Not particularly itchy elsewhereExamination: BAR. Mm pink, bilateral OE, left moderate erythema with ceruminous debris TM fine. Right stenosis severe, cant do otoscope exam. Coat generally good. 2 masses on head, nil changeCytology: right cocci +++, malassezia +Left malassezia +Assessment:OEPlan:Start aurizon, able to get nozzle through stenosis okStart tapered pred course for couple of weeksRe ex 2 weeks, needs ongoing management with dex/otoflsuh vs HCA spray or other allergy management. May require GA flush if nil improvementDiscuss lumps. Declined FNA    Vital Signs    Weight: 9;