C10003250 / invoice 10000

Reason: Ear Infection KBAppointment Notes: Overdue remindersHistory:Osurnia dispensed 21/2/26 1 tube done at NSVH then 1 week again laterEar improved for 1 week then signs returnedO notice scratching L ear and some brown discharge upon ear wipingEddu ok no cvdsPrevisit trazodone givenExamination:O placed McQueen on table, could swab ear initially with O holding muzzle then when want to have another look, McQueen starting to try to bite. Muzzle applied by owner.Left ear base is inflammed and canal is swollen, could barely fit a cotton tip in. Cotton tip: small amount of brown discharge Results: Left ear swab diff quick: budding yeast, about 40 pFHP, no bacteriaAssessment: L ear Malassezia otitis externaTreatment: Neptra recommended as very difficult to treat at home due to behaviour.Plan: recheck in 4 weeks for repeat cytology, earlier if issues arise. Ensure previsit trazodone.    Vital Signs    

Reason: Check UpAppointment Notes: Overdue remindersHistory:EDUD okNo concernsExamination:BAR- extremely nervous today- biting O when O is attempting to pick up or put on scalesLimited PE due to temperamentBCS: 3/5Eyes: WNLEars: WNL from external viewNose: WNLMM’s pink moist and CRT <2sOral exam: WNLSkin: WNLThoracic auscultation: WNL- no murmurAbdo palp.: would not allowLN’s: would not allowMSK: Would not allowAssessment:Ok for vaxStrong anxiety response to being at vet clinicPlan:Protech C2i s/c. Due again in 12moAdvised O that to minimise animal anxiety + dangers to O and staff recommend pre-visit anxiolytics to allow better PE and safer experience ini general. O accepting of thisTrazodone 100mg to be given 1-2 hours before all future vet visits--- 13/05/2025 08:45:59 SPS:Courtesy text sent - SS    Vital Signs    Weight: 16.5;       

Appointment Notes: Overdue reminders--- 04/12/2024 13:45:11 RS:Courtesy txt sent. RS    Vital Signs    Weight: 16;