C09981713 / invoice 10000

Appointment Notes: RecheckHistory: presenting for ear recheck following PMP txO reports no further scratching or shakingDid vomit twice in the past fortnight after eating the toddler's muffin,  not common for Princess to vomit, still BAR and eating/drinking/toileting normally. Has been fine since then. Up to date on parasite prevention. Exam: BAR, taking treatsR ear clean and not inflammed, cytology negativeL ear moderate discharge, not inflammed, hair around ear caked with PMP/ear discharge, cytology occasional yeastAbdomen soft and comfortableMMs pink and moist, CRT <2sNormal skin turgorTx:Clipped hair short under pinnae, esp L earCleaned both ears with paw gentle ear cleanerClient communication:- Discussed with O continuing PMP for a further 2-3 days in L ear, then continue weekly ear cleaning with epi-otic purchased last consult- Discussed risk of reoccurance without good allergy control, if reoccurs despite weekly ear cleaning, consider elocon lotion/apoquel. - Recheck if any further vomiting, any diarrhoea, inappetence or lethargy    Vital Signs    Weight: 7;