C09994100 / invoice 10000

Reason: Ears GAPONLYAppointment Notes: Booked Online: 01/03/2026 09:08:35 AMBooking Type: Skin, Ears, Eyes or LumpsBooking Notes: Rosie's ear has got scaly discharge and she is itching it all the time. When I try look at it she gets uncomfortable about it. I think she might have an ear infection again. Owner Name: Shannon GalbraithOwner Email: shannon.galbraith1@gmail.comOwner Mobile Number: 0435598517Pet Name: RosiePet Species: Dogjavascript:bs_ToggleDisplay('Procedure24459536')Web BookingClient name: GalbraithContact number: 0435598517Email address: shannon.galbraith1@gmail.comPatient name: Rosie  ------- Sms reply: YReason: Client Present: ShannonNurse:E/D/U/D NAD BARCheck both ears, itching and uncomfortable. O thinks ears might be infected. Vaccination Type: UTDIntestinal worming: Simparica Trio UTDHeartworm Prevention: ^^^Flea Prevention: ^^^Tick control: ^^^Microchip:Insurance and Healthy Pets Plus:Behaviour concerns: NADCurrent medications:NoCurrent Diet:Type of Shampoo/Frequency:Toileting: NAD__________________________________________________________________________History: Rosie presented for possible ear infection, R ear. She has been shaking her head and scratching at her R ear over the past few days. Previously treated for otitis externa L ear last month.Doing well otherwise, EDUD normallyExamination: BAR, anxiousHR 140 RR panting MM pink CRT <2sec temp 38.5 earCV no murmurs or arrhythmiasResp normal bronchovesicular soundsMSK ambulatory, normal musculatureSkin soft coat, L ear normal, R ear canal mildly erythematous, small amount of dark brown ceruminous ear wax noted.Opth clear eyes, normal pupilsLN submandibular LN NADLaboratory: Ear cytology- R ear ++ malassezia yeast- L ear WNLAssessment: Otitis externa R earTreatment: Ears cleaned with gentle ear washDermotic 0.5ml instil into R ear BID for 7 days - owner has some at home, from previous visit.Consent has been given by the client to proceed with this treatment  -  Yes/No Plan: Monitor at homeRecheck ears in 7 daysScripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days pleaseReason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:    Vital Signs    Weight: 3.9;