C09979813 / invoice 10000

Reason: Cytopoint And Check EarsAppointment Notes: em  ------- Sms reply: YHISTORY:Storm presented with right ear discomfort noted since Saturday. Owner reports squelchy sounds from the affected ear. Storm exhibits rubbing behaviour in front of the ear and tends to lean into the area when touched. Allergy symtpoms getting worse.Current meds: noneVaccination: Not mentionedParasite Prevention: Not mentionedPre-existing conditions: Allergies managed with Cytopoint injectionsAccess to toxins eg. Rodenticide: noneEXAMINATION:Integument/Ears: both ear canals clear, left mild inflammationPROBLEM LIST:Right ear discomfort with squelchy soundsRubbing behaviour around affected earDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Suspected ear infectionDIAGNOSTICS:Otoscopic examination : both ear canals clear, left mild inflammationASSESSMENT:Storm presented with right ear discomfort since Saturday characterised by squelchy sounds and rubbing behaviour. Otoscopic examination showed ears clear. LEft ear a little more inflamed.  History of allergies managed with Cytopoint injections which have been effective previously.TREATMENT:CytopointPLAN:Cytopoint todayContinue allergy management as needed    Vital Signs    Weight: 30.8;