C09992211 / invoice 60000

Reason: Check ears.Scratching the left ear 2-3 weeks. Today went to the Groomer and noticed some inflammation. Is bathed every 2 weeks. Currently on a diet (stopped feeding dry food and feeding a home cooked diet, fed boiled chicken and veggies -spinach broccoli, carrot, spinach, sweet potato, cabbage and beans)- weight loss from 12.6kg-10.3kg. Intermittently fed eggs. No other areas of pruritis. On monthly nexgard and three monthly tapeworming. Left pinna is mildly inflamed, the ear canal is clean. Small amount of a discharge and inflammation in the right ear canal. Ear swabR=Malassezia Possibility of an underlying allergy leading to inflammation of both pinnas at their base but mainly the right. Left canal is not inflamed and is clean. Right canal is inflamed and has a small amount of a moist wax. No other areas of the body have any kin inflammatory changes.Cause of the allergy is unsure. Diet? Contact? External parasites? - on regular nexgard (ear mites unlikely) Treatment: aurizon 10ml 10 drops SID right ear, microlone 5mg 1 BID x 1 day then 1 SID x 5 days then 1 twice weekly x10tT-scale quote-GA 270, T 240, hosp 65= $580Rx 1 week    Vital Signs    Weight: 10.3;       MMColour: pink and moist;       HeartRate: 100;       BodyScore: 5/100;           Examination (Physical)    Dental: 2/5;       Eyes: normal;       Ears: see history;       LN: peripheral nodes normal;       GIT: no gut issues;       Skin: normal coat;       Resp: panting;       Cardiac: normal sounds and rate;       Neuro: b&a;       Mobility : good;       Genito/Urinary: no issues;       

Reason: C51.2Kg weight gain last 6 monthsSuggest teeth scale GA 250, T 200 H 65 .    Vital Signs    Weight: 12.6;       MMColour: pink/moist;       HeartRate: 120;       BodyScore: 6.5/10;           Examination (Physical)    Dental: 1.5/5;       Eyes: normal;       Ears: clean & not inflamed;       LN: peripheral nodes normal;       GIT: no gut issues;       Skin: normal skin & coat;       Resp: normal rate & depth;       Cardiac: normal sounds & rate;       Neuro: B&A;       Mobility : OK;       Genito/Urinary: no issues;       

Reason: RecheckFaeces back to normal after 2 days & OK since. No vomiting. Normal appetite & normal diet.Abdomen palpates normally, no excess fluid or gas. This is likely to be primary GI disease probably due to dietary indiscretion.    Vital Signs    Weight: 11.4;       MMColour: pink and moist;       Temperature: 38.8;           Examination (Physical)    Eyes: normal;       Ears: clean;       LN: peripheral nodes;       GIT: see history;       Skin: normal skin and coat;       Resp: normal rate and dept;       Cardiac: normal sounds and rate;       Neuro: b&a;       Mobility : good;       Genito/Urinary: no issues;