C09980967 / invoice 10000

Reason: Check EarsHistory: Itching both earsEating well, no v/d/s/cExamine: weight stable Assessment: Treatment: Plan:    Vital Signs    Weight: 11.7;       

Reason: Annual HC And VaccinationsHistory:  UTD simparica trio monthly. Doing well. EDUD normal. Examine: BAR, mm pink moist CRT<1s. HR normal RRpant normal effort. Abdo palp comfortable, lnns wnl. Eyes nose normal. Ears: Right canal entrance mild erythema and mild crusting. Left NAD. Scoped both ear canals, no discharge. Laboratory: right ear canal entrance = scattered yeasts. Left NAD. Assessment: Mild yeast infection of the Right ear canal entrance only. Treatment: protech Pi2 + C2i inj SC. BB oral. Plan: dermotic topically on crusty ear skin BID for a week.    Vital Signs    Weight: 11.6;       

Reason: Shivering Since 4pmGenerally very well at homeHas gained some weightO working from home today, seemed okSeemed excited to see alica after coming home, but since then has been tremoring/shivering, for over an hour.Still keen to eat treats, following O around wags her tail.Examine: QARMm pink + moist crt 1sTeeth cleanLNs WNLCranial nerves wnlChest lungs clear Shivering in back legsNo neck pain, no tail painMid thoracic spine repeatable pain on palpation with abdominal splinting.No neuro deficits, proprioception WNLTemp 38.8Assessment: spinal pain - muscular, ivdd, inflammatory Plan: paracetamol 125mg BIDGabapentin 150mg BIDRest and slow reintroduction to exercise.    Vital Signs    Weight: 11.9;