C10002151 / invoice 10000

Reason: GHCHistory:Owner wants to do a general check up Has had him for a few weeks nowHe is doing very well but seems itchyItches armpits and groin and sometimes head shakes and scratches behind earHas had this itch since they picked him up EDDU normalNo v+/d+/c+/s+Diet: dry + wet puppy food + chicken necks crushed up Owner has given simparica trio but only 1.25-2.5kg doseExamine: BAR vitals wnlMM pink moist crt 1sEars - mild brown discharge from both earsEyes, nose, mouth nadLNs nad Skin nad, no lesions or alopecia, no redness or dischargeChest ausc nadAbdo palp nadMSK nadNeuro nadUrogenital nadRectal nadLaboratory: Ear cytology - yeast ++ both earsAssessment: External parasites vs allergies vs otherTreatment: Dermotic 0.3ml both ears bid 5dPlan: Give another 3x 1.25-2.5kg simparica trio (owner has on hand) to make up correct doseIf still itchy in a week, start elimination diet trial    Vital Signs