C09983602 / invoice 10000

Appointment Notes: Check ears -Rm *req ec*History: Licking paws frequently, shaking head and O has noticed discharge in the R ear. Had heat 8th of December. Regurgitates once a week, mostly if having a big drink of water or very excited. Can have stertor particularly when sleeping Examination: BAR, TPR wnl, MM pink and moistEars: Both ears erythemic, otoscope exam: L ear wax/brown at base of canal, TM intact, R ear moist brown discharge, TM obscuredCytology: malassezia ++++ R ear, L ear malassezia +Ventral interdigital dermatitis with porphyrin staining Stenotic ear canals notedBCS 6/9Assessment: Otitis externa, interdigital dermatitis - contact allergyPlan: Malaseb/HCA for interdigital dermatitisKeto/enro/dex solution for otitis - BID 5 days L ear, 10 days R ear RV 2 weeks to recheck paws and earsProheart inj done and home with bravecto spot on/cazitel for parasite control. Recommend brachycephalic airway assessment under GA when in for spey (recommend to do from 12 months).    Vital Signs    Weight: 12.9;