C09994095 / invoice 10000

Reason: Recheck earsNurse: -vaccination UTD-heartworm UTD-worming UTD-flea/ticks UTDEDDU well no V+D+BAR No changes or concerns noted since last visit. History: Recheck RHS OE after baytril ear drops, oral pred, oral itraconazoleIs better and comfortable now, O has no concernsExamination: Full exam not performedPinnae non inflammedBoth ears small amounts brown ceruminLaboratory: Ear cytology:LHS debris onlyRHS cocci + no malassezia seenTreatment: Recommended seeing DFA for review as this is the same ear which had TM tear and OM previously.  I am concerned that the lack of response to topical antibiotics may indicate persistent OM or a resistant infection.  Also given patient's ongoing history of ear issues, specialist management for ongoing treatment and long term management will allow the best outcome for owner and patient.  Consent has been given by the client to proceed with this treatment  -  YesPlan:O will call DFA for apptIn the interim, we will continue with baytril ear drops for another 10 days and oral itraconazole. Can taper off pred for now. If unable to get appt with DFA uin the next 2 weeks, to come back to us to repeat ear cytology in 10 days.--- 06/03/2026 08:33:32 AM AWG:Examinations - Resolved -    Vital Signs    Weight: 17.2;