C09996927 / invoice 10000

Reason: Vaccination Appointment Notes: Overdue remindersClient Concern: History: Lepto due. Proheart due.KC due.Tick control Bravecto every 3 months. Discussed Quantum as an option. Might consider when Bravecto supply runs out. EDDU normal and BAR. No concerns except for scratching ears a little. Dental score: 1, mild tartar building up on teeth, no gingivitis. Physical Examination: Bilateral ears moderate amount of hair in vert canal but horizontal canal quite okay. Both inflamed. TM intact, although brief look. Swabbed. CRT1sec, MM pink and moist, chest auscult normal, abdo palp relaxed, superficial LNs normal. BCS 3.5/5  >discussed, aim for small weight losses for perfect BCS. Laboratory: 2+ yeast in BOTH ears. Treatment: Proheart SCLepto SC KC intranasal Nurse showed how to instil PMP. Plan: RV two weeks to see if infection cleared. First offender with ear issue, likely just monitor once infection cleared.    Vital Signs    Weight: 8.6;