C09992285 / invoice 10000

Appointment Notes: Oslow (Dog) - Consultation (illness, check-up etc) [Veterinarian : Dr. Elise Fookes(No Preference)] - Ear check upWeb BookingClient name: India EvansContact number: 0468750733Email address: indiagevans1@gmail.comPatient name: Oslow Original Appointment Type: Consultation (illness, check-up etc)History:In for check on earsLast week and a half ears a bit smelly, have been cleaning them and they otherwise seem ok, not itchy or red - maybe getting a bit more wax out of them than normal againSkin under nose- little bumps ongoing, tend to come and go - they don't seem to be itchy or bothering himNo other concerns, DUDE all normal, no vx or dx Examination:BAREyes okEars- minor amount of dark brown debris on swab bilaterally, no erythema, both ears do have a bit of a yeasty smellInner pinnas are cleanSkin under nose above lips there are some dermal based light brown spots on skin, consistent with fur colour, some are more pink tinged - wriggly for examination, none are scabbed or bleedingLaboratory:Malasezzia + bilaterally, no bacteria or inflammatory cellsAssessment:Bilateral OE- low gradePlan:Discussed OE with O- suspect start of infectionWill go onto ear meds - BID for 10 days for both ears, recheck 14 days Discussed skin near nose/lips- O happy to monitor at the moment    Vital Signs    Weight: 15.4;