C09986545 / invoice 10000

Reason: Scratching Ears Like Crazy With DO Onyl BMAppointment Notes: Overdue remindersReason: History: Eating and drinking wellOR seeing scratching around ears quite frantically (seen through camera today)Not on any medsExamination: BARBoth ears clean down canalHariy L earErythematous base of L ear, not infectedLaboratory: Assessment: Skin irritation L ear baseTreatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Neocort cream twice a day for a week onto site (O has cream at home)Spoke about Zenrelia, O declined, does not think it is atopy based and poss behavioural and chewing is not too badRecheck if not well or worse    Vital Signs    Weight: 8.1;