C10002286 / invoice 10000

Appointment Notes: Ear infection MBHISTORY:Owner reports that Archie has been shaking head and scratching ears badly overnight. Still on abx from specialists after SM LN abscess (haven't received full notes yet). Flea/tick/worming: UTD PHYSICAL EXAM: Demeanour: BARVitals: WNL CVS: regular rhythm, no murmur, SSFP.RESP: normal respiratory effort, clear bronchovesicular sounds; no crackles or wheezes.ORAL: NAD OCULAR: NADEARS: L ear NAD, R ear moderate greasy brown discharge, erythema and pruritis. TM intact on otoscopic exam ABDO: soft and comfortable to palpate.LNs: still mild increase in SM LN size, worse R > L INTEG: coat clean, no visible ectoparasites.GAIT: ambulating well, no lameness observed.UROGEN: NADDIAGNOSTICS:L ear cytology - NAD R ear cytology - malasezzia +++ ASSESSMENT: R ear OE TREATMENT:Cleaned ears Poloxamer gel (enro, keto, steroid) PLAN: RV one week for cytology or repeat application     Vital Signs    Weight: 11;       MMColour: Pink;       RespirationRate: 26;       HeartRate: 102;       Temperature: 38.5;       BodyScore: 5;       CRT: 1-2;