C09994429 / invoice 10000

Reason: EarsAppointment Notes: Booked Online: 21/02/2026 14:19:15 PMBooking Type: Skin, Ears, Eyes or LumpsBooking Notes: Recheck of Ears Nurse: Here for a recheck ear. Has been on pmp for a week and has been off it for a week and seems to have helped and cleared upHas been on Apoquel and since been on it, has stopped itching completely. O has half the amount left but was wondering if she could pick up some more today if possible so she doesn't have to come back in.He is so much better and has stopped biting at his feet and scratching and is completely a different dogAlso can we look at his eyes and just check them over (he is allergic to UV)No other concernsHistory:Doing incredibly well on Apoqeul, just starting on the SID dosing now. Eems to be much brighter and more comfortable, no itching of belly, feet ears or face. Eyes are doing aokay, just look a little funny? No wiping at face, no redness or tearing. EDDU normally. Examination:Mentation: BAR, friendlyEyes: nil blepharospasm/erythema/discharge, pigmentation of lower aspects of both corneas, nil aqueous flare, normal PLR bilateralEars: nil erythema/discharge, reactivity to otoscopic exam but no pruritic response (suspect behavioural)Oral: MM pink and moistCVS: nil murmur/arrhythmia, strong pulseResp: normal bronchovesicular sounds, nil nasal dischargeMSK: nil lameness, normal muscle conditionInteg: nil lesions/erythema, normal coatLN: mandibular WNLAssessment:Significant improvement on Apoquel, ear symptoms fully resolved. Will need to continue to monitor on lower frequency of apoquel now. Plan:More Apoquel dispensed, continue on long-term if proving to be effective at SID dosingMedications:Apoquel 16mg chew 1 tab PO SID    Vital Signs    Weight: 37.3;