C09989757 / invoice 10000

Reason: nail clip
Consult Nurse: mw
History: 
     EDUF: normal, overweight
     Nutrition: overweight, o aware, discussed a plan for toffee's weight loss, o on board and going to bring in for regular weigh ins to keep motivated
     V#/D#/Coughing? no

Examine:
     General Appearance: BAR
     Body Score: 4/5
     Coat/Skin: nad
     Ears/Eyes: nad

Microchip: on file

Assessment: discussed weight and weight loss plan, back nails trimmed but not front as getting stressed, all paws shaved

Reason: Courtesy phone call 
Nurse: Stacey Evans
History: Check ears
     TTPONALMTCB

History:
In for vaccination, O is concerned scratching ear and shaking head, O thinks scratching at both ears.
BAR?: Y
EDUF?: Normally

CE:
BAR
BCS: 4/5 - has lost half a kilo since last visit but needs to lose a fair bit more.
Eyes.
Ears. Both yeasty smell + with black waxy discharge.
Cyto - both sides budding yeasts+ with occasional cocci.
Mouth: NAD
Hydration: normal
MM: Pink and moist
CRT: <2s
Teeth: 0/4
LNs: NSFs
Heart: normal rate and rhythm on auscultation
Pulse: strong and regular
HR: 112
Respiratory: normal on auscultation, normal effort
Abdomen: normal on palpation
MSK: NAD, ambulatory, not fully assessed.
Integ: NAD
Neuro: NSFs
Peri-anal: NAD

Recheck ears in one week.

Vac: Pi2 + oral BB
Next vac: C5 2020