C09992894 / invoice 10000

Reason: Needs Ears Looked At RHS Worse, Vacc Appointment Notes: 7.6Hx:Right ear dirty for couple of week, shaking her head, scratching her ears. Regular ear cleaning once a week, using epiotic. EDDU normally, no VD. UTD with FTW PE:Right ear mod erythematous, ear canal stenotic, and wet. Left ear minimal erythema and no stenosis Stenotic nares Mouth-shy. Unable to perform full oral exam but brief look at incisors and canines - minimal tartar Increased respiratory effort Soft and comfortable abdo palpation Ear cytology:(L) cocci ++ (R) malassezia ++, cocci+ Assessment: 1.  Fit for vax 2. Bilateral OE Rx:1. C4 sc + oral bb 2. SR12 0.38mls sc 3. Dermotic 20mls Plan:1. Recheck ears in 10 days    Vital Signs    Weight: 7.6;       HeartRate: 130;       DentalGrade: 1;