C09996814 / invoice 10000

Recheck for acute onset vestbular syndrome last week Since then did improve massively, but has developed head tiltWas non ambulatory last week, now ataxicWas on cerenia tabs which helped, but vomited yest when not on themGiving dermotic for unilateral R sided malassezia infection No other medsHead tilt to the RHSNo nystagmysAmbulatory but marked ataxia R ear - mild discharge deeper in canal. Otoscopic exam - some crud right at the TM. Malassezia++L ear - similar crud at the TM, but debris only. Plan:Start oral abx and preds in case of OM/OI -> vestibular signs If idiopathic then may take further 2-3 weeks before resolution, head tilt may stay long term Warned if signs worsening / not resolving then consider MRIIf still vom/ nausea consider ondansteron also    Vital Signs