C09988408 / invoice 10000

Reason: Ear Infection- Any VetAppointment Notes: Overdue remindersVerified: NoHistory:Presenting for: Max presented for ear infection - both ears are warm to the touch and painful. Left ear was examined yesterday and found to be problematic, with right ear also affected.Current Meds: Epiotic ear cleaner (same product prescribed by 24/7 emergency vet)Examine:Behavioural: Vocal during examinationEars: Bilateral ear infection confirmed. Right ear has severe infection, left ear less severe but both contain bacteria. Right ear also has Malassezia present. Both ears warm to touch and painful.Diagnostics: Ear cytology performed on both ears under microscope - confirmed bacterial infection bilaterally with Malassezia also present in right ear. Maisie's ears examined and found normal with no infection present on cytology.Assessment:Bilateral otitis externa - Right ear with mixed bacterial and Malassezia infection, left ear with bacterial infection. Right ear more severely affected than left.Plan:New Meds/Tx:- Dermotic ear drops 1ml into each ear BID for 10 days. Bottle designed to be completely used by end of treatment course.- Demonstrated proper ear cleaning technique using Epiotic - insert syringe deeper into ear canal than client was previously doing, use entire syringe contents, massage ear base, then use separate clean syringes for each ear to avoid cross-contamination- Syringes can be washed in soapy water and reused after drying in sunshineAdditional Discussion:- Recheck appointment needed in 14 days to ensure infection has cleared- If any Dermotic remains after 10-day course, discard remaining product    Vital Signs    

Reason: Any Vet- VaxAppointment Notes: ------- Sms reply: YesVerified: NoHistory:Presenting for: Max, a young dog, presenting for C7 vaccination.Historical Conditions: Diet: Eating well. Enjoys blueberries and apples. Not fond of bananas.Drinking/Urination: Normal, going to the toilet every morning.Current Meds: Simparica Trio.Lifestyle Risk Factors: Other: - Owner works night shifts, reports being awake since 4pm yesterday- Dog will be desexed tomorrow at another clinicExamine:Mentation: BARWt: 3.8 kg (gained 1 kg)Cardiovascular: Normal heart soundsIntegumentary: Veterinarian examined paws for potential lesion but found nothing concerning. Noted that claws will harden up naturally with walking on concrete.Diagnostics: C7 vaccination administered.Assessment:Apparently healthy - No concernsVaccination visit - Ok to vaccinatePlan:Vaccinations:- C7 vaccination administered todayAdditional Discussion:- Discussed importance of avoiding stressful events during fear periods (6-8 months and just after 1 year of age)- Noted that dog will be desexed tomorrow at another clinic and will come home with cone- In 2 weeks' time, dog can go to dog parks, grasses, beachesClient Comms:- Advised that walking on concrete will naturally wear down nails    Vital Signs    Weight: 3.8;       MMColour: pink;       HeartRate: 109;       BodyScore: 5;       DentalGrade: 0;       RespirationRate: 24;       CRT: <2sec;       

Reason: Any Vet- VaxAppointment Notes: ------- Sms reply: YesHistory: Settling in wellBought a crateEDDU normalExamine: all vitals normalBoth testes descendedNo hind limb dew claws, no herniasNo murmurs or arhythmias notedFemoral pulses normalAssessment: fit for vaccinations Treatment: signed up to lifevacc todayDesex at 5-6 monthsTreatment: C7    Vital Signs    Weight: 2.84;       MMColour: pink;       HeartRate: 132;       BodyScore: 5/9;       DentalGrade: 0/4;       RespirationRate: 32;       CRT: 1;