C09979979 / invoice 10000

Appointment Notes: Booked Online: 03/03/2026 09:08:17 AMBooking Type: Skin, Ears, Eyes or LumpsOwner Name: Emanuella Victoria Maciel MateusOwner Email: manu.maciel1@gmail.comOwner Mobile Number: 0403372373Pet Name: LunaPet Species: DogWeb BookingClient name: Maciel MateusContact number: 0403372373Email address: manu.maciel1@gmail.comPatient name: LunaReason: Client Present:Nurse:Healthy Pets Wellness Testing: Done Yes / NoVaccination Type:Intestinal worming:Heartworm Prevention:Flea Prevention:Tick control:Microchip:Insurance and Healthy Pets Plus:Behaviour concerns:Current medications:Current Diet:Type of Shampoo/Frequency:Toileting:__________________________________________________________________________History: HISTORY:Presenting for review of paw licking, ear discharge and nail clipping. Owner reports Luna licks her paws, particularly in the mornings after waking. This behaviour appears to cease after Apoquel administration. The paws are sometimes washed with Malaseb shampoo, which seems to provide some relief. There is some discharge from the ears, with the left ear appearing more affected. Owner notes a history of a small red papule on the skin, which is no longer present. A history of recurrent ear infections was noted, particularly after visits to the beach. Luna is under the care of a specialist dermatologist, Dr. A.B. Knight at Corala, for her skin condition and receives desensitisation injections every two weeks.Current meds:Apoquel, once dailyReceives immunotherapy injections every two weeks under specialist care.Examination: BARSkin soft coat, skin interdigital space normal todayL ear canal mildly erythematous, R ear canal normal todayLaboratory: Ear cytology- L ear + malassezia yeast- R ear WNLAssessment: Ongoing skin pruritusOtitis externa L earTreatment: Dermotic - instil 0.5mls into L ear BID for 7 daysApoquel 5.4mg PO SID Consent has been given by the client to proceed with this treatment  -  Yes/No Plan: Recheck ears in 7 daysScripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days pleaseReason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:    Vital Signs    Weight: 11.1;       Temperature: 38.2;