C09990434 / invoice 10000

Reason: Ear InfectionJoint movement good and wil start another course of zydax.Using epiotic - both earsHistory:- Peggy had ear issues treated with antibiotics for nearly 14 days, which initially resolved but then recurred.- A follicular cyst on the face burst recently.Examination:Left ear: Discharge noted, indicative of an infection.Right ear: Clear, no evidence of infection or discharge.Left muzzle: Presence of a burst follicular cyst.DIAGNOSIS- Ear infection in the left ear- Burst follicular cyst on the left muzzlePlan:1. Prescribe Dermotic for the left ear infection, to be used for 7 days, extend to 14 days if discharge persists.2. If discharge continues after 14 days, perform a culture to identify the correct antibiotic.3. Use Neocort for the burst follicular cyst on the face, apply morning and night until it clears up.4. Recheck or follow-up as needed when the weather changes or if symptoms persist.    Vital Signs    Weight: 32.2;       

Reason: Check Lump Next To EyeSmall firm mass near medial canthus on the nasal bridge right eye - FNA protein, non cellular, low yieldDdx cystic?PLAN owner will monitorHistory:- Molly has a growth near her eye, discovered while cleaning.Examination:Eye area: Growth likely a papilloma or sebaceous cyst, close to the eye.DIAGNOSIS- Likely papilloma or sebaceous cyst.Plan:1. Collect cells from the growth for analysis to confirm diagnosis.2. Monitor the growth for any changes in size or behaviour.3. Possible removal if it grows or causes increased tear production.4. Recheck in a couple of nights' time for further assessment.    Vital Signs    Weight: 32.2;       

Reason: Consult For ArthritisSubjective:Molly, a 9-year-old dog, follow-up for possible hip dysplasia or osteoarthritis. Genetic testing for degenerative myelopathy and exercise-induced collapse returned normal. Currently managed with Zydax injections, diet, and supplements.Objective:T , BW 32.3kg, BCS /9HR: 92, MM pink, moist, CRT < 2secEENT - No nasal discharge, no other significant findingsDENT - NADH/L - Normal rhythm, no murmurs. Pulses strong & synchronous. Normal RR & effort.ABDO - Soft, non-painful, no palpable massesUG - WNLMSK - Mild arthritis noted in carpal jointsNEURO - Gait & mentation normalOther issues - NoneAssessment:Mild arthritis in carpal joints - OsteoarthritisPlan:Continue Zydax injections, next course in March to prepare for colder months.Maintain current diet and supplement regimen including Antinol, green-lipped mussel, and turmeric.Monitor and manage osteoarthritis symptoms, focusing on maintaining muscle tone and joint health.Recheck in March for further assessment and management of osteoarthritis.    Vital Signs