C09995014 / invoice 10000

Reason: Ear Infection MM Appointment Notes: Overdue remindersHistory:Not a big eater - but is normal EDUD good otherwise No other concerns Has been having issues with L ear Did have L ear infection in Jan - resolved but has now recurred Shaking head and scratching ears Not itching or scratching elsewhere No current meds UTD with monthly Nexgard Spectra Examination:38.7 Hr 120Abdo palp ok Left ear sore Right ear not bad G1dd Rest ok Assessment:Plan:    Vital Signs    Weight: 20.10;       

Reason: D+ For A Few DaysAppointment Notes: on blands alreadyHistory: 2/1/26 started D+. Liquidy brown, no blood. Os were away with her, forgot her regular food and bought some different food. Also got some sausages etcAte better last 24 hrs, chicken and rice only fed. No V. Hasn't pood today. No medsGets a gunky ear, one ear onlyHas had D+ before but never longer than 24hrsStill had good energy throughout, still going on daily normal walkExam: OMMs pink. Slightly tacky. HR 64. Fem pulses synchronous. PantingAbdo palp NAD. Comfortable. Nil fs in colonT38.5R ear clear. L ear mild brown d/c. Mild hair. Cytology: L ear: mal + (5-6/HPF)Assessment: D+ likely due dietary change/indiscretion ddx infectiousSuspect is resolvingOtherwise if recurrent consider Addisons as HR on the lower side. Mal OE low gradePlan: Just monitor the D+. Continue chicken and rice and then if no D+ after a few days then slowly increase the amount of the regular dry food fedIf recurrent or any V/lethargy would check bloods inc lytes. If well in self but just D+ persists then send out fec sample for D+ PCRPMP 0.5ml L ear BID x 2-3wks    Vital Signs    Weight: 19.4;       

Reason: Lepto Booster MM A001A02 Exp 02/26    Vital Signs