C09997823 / invoice 10000

Appointment Reason: Check Ears, Appointment Notes: Luna (Dog) - Check Up [Veterinarian : Dr. Shalinie Navaratne(No Preference)] - Check up - Web BookingClient name: Karlou AmadaContact number: 0431041497Email address: karlouamada@gmail.comPatient name: Luna Original Appointment Type: Check Up*Scratching at ears and they have a smell KMIn with KarlouHistory: Started to scratch her ears and has a small- has been going on for a last week.. Ongoing issueEDDU well- otherwise well in herselfExaminationBAR, very sweet girlEars: left ear inflamed on otoscopic exam with mild amount of yellow discharge present. Right ear NAD.LNs: submandibular and prescap  LNs WNLCardiovasc: pink mm, no murmurs or arrythmias detectedIntegument: scab present on dorsolumbar regionLAB: LE: ++yeastRE: clearAssessment: Allergic skin disease with secondary otitis externaTreatment: Cytopoint 10 mg given in consultPlan: EARS. Treat ears medically and rv at end of treatment cycleSKIN: to treat scab lesion with malaseb shampoo + neocort. Advised can also use on paws if need be. Can have cytopoint with nurse as needed for next 6 months.     Vital Signs    Weight: 9.5;       MMColour: Pink;       HeartRate: 120;       BodyScore: 5;       CRT: 1-2;