C09979595 / invoice 10000

Reason: Allergies Flaring Up - Weepy EyeAppointment Notes: Overdue remindersdoesn't seem to be bothering her. in with Danielle. lw  ------- Sms reply: YPrevious known history: PennHIP results: 0.64 (moderate risk)Allergic dermatitis - seasonal - responds to cytopoint, USMI - responded to stilboesterol, not currently on it and has remained continent7/10/24: Periocular dermatitis.April 25: Unilateral otitis externa LEFT, Overweight; 4kg weight gain in last 4 months06/05/25: OE resolved - likely still allergic component. Overweight. Periocular allergic dermatitis - mild vs Entropian 30/09/2025:Acute hypersensitivity reaction suspected, Nirmaine 1.4ml SC  Dexapent 0.84ml SC Current Medications & Dose: AU: Otoflush + elocon weekly ?PO; Apoquel 16mg SID- prescribed 4/25 ?SC: Cytopoint inj 30mg 17/9History (from Owner): unremarkable unless stated  Appetite:  Diet:  Drinking:  Energy Levels:  Urine:  Faeces:  Vaccination Status:  Parasite control:  How have they been since last visit?Examine: unremarkable unless stated  Behavioural:  Mentation:   Gait:Hydration Status: unremarkable unless stated   MM Moistness/Eye Appearance/Skin Turgor-Physical Exam (See Vital Signs):   unremarkable unless stated  Thoracic auscultation:  Pulse rate/quality:   Abdominal palpation:  Eyes/Ears/Nose/Mouth/Teeth: R ear: 7+ yeast/HPF, L ear 2+ yeast/HPF   Skin/lymph nodes:  Musculoskeletal:  Reproductive:Assessment:Bilateral otitis externa.Treatment (See invoice items and client information): Plan (See medication labels, reminders and instructions):Laboratory:    Type:  Test:  Results:    Vital Signs    Weight: 28.1;