C10001480 / invoice 10000

Reason: Review MBAppointment Notes: Special payment terms exist, Overdue remindersHistory: Recheck earsSkin recheck is in 7 days - however O noted that the scratching although hasn't stopped itching, significantly improved.O noted that there was flatulence however on the pred and afraid this may be signs of pancreatitis. Her appetite and drinking has increased, but no change in food.Examination: BAR, friendly girlEars: grossly clean, ears are not stenotic nor hyperaemic.Chest: clearAbdomen: soft and comfortable on palpationIntegument: ventrum WNL. Interdigital areas on forelimbs mildly hyperaemic with mild saliva stains, but no other discharge or swelling noted.Laboratory: Swabs taken from ears for cytology. Findings - NADAssessment: OE - resolved for nowDermatitis - interdigital now, mild. Overall improvingFlatulence on prednisolonePlan:1) Ears - OK to stop ear medications, to continue monitoring2) Revisit in 7 days for the skin3) Do not suspect pancreatitis at the moment even though she has flatulence as she is otherwise eating well (increased on pred) and abdomen is comfortable. Offered blood test today and although it would be good to rule out any pancreatitis/ liver disease etc. It is not urgent today. O happy to hold off for now and perform blood test if further signs appear.    Vital Signs    Weight: 20.3;