C09991819 / invoice 10000

Reason: Cytopoint + Red Ear Appointment Notes: JWHistory: 1.00 x Dermotic 20mlTo apply 0.5ml to both ears twice daily for 10 days. Ideally recheck 2-5 days post finishing Left ear inflamed Laboratory: ++ Yeast bilateral.    Vital Signs    Weight: 10.3;       

Reason: Cytopoint + Ears Appointment Notes: Overdue remindersHistory: Itchy againEars were red, O cleanedEnquiring about anxiety - more situational but frequent- coming to the vets, car rides, loud noises etc. Shakes, darts around, restlessExamine:BARMm p+m, crt<2. GR2 dental diseaseChest okR ear mildly erythematous, cyto nad bilateralAssessment: Monitor ears after cytopoint todayDisc short term anxiety relief options vs daily (prozac). O wanting to try short-term first. Treatment: Cytopoint 20mg scTrazodone 100mg 1hr prior to stressful event    Vital Signs    Weight: 10.7;       

Reason: CytopointCytopoint 20mg given SC by vet studentJust started itching recently, responds well to cytopoint.    Vital Signs    Weight: 10.4;