C10003606 / invoice 10000

Reason: Recheck Ears Appointment Notes: Overdue reminders  ------- Sms reply: YHistory: Sid is presented for recheck of earsNot currently on easoticOn pred 20mg EOD - was best controlled on 20mg SID - a little flared going down to 20mg EOD - but O advises there is grain harvesting going on (lives in Cambooya) and he always flares with increased airborne allergensExamination: BAR - complete numpty of a dogEars look good - no way we are getting an otoscope in there without sedating him - swabs takenLaboratory: Both ears unremarkable on in house cytologyAssessment: Resolved otitisChronic atopic dermatitisPlan: Advised weekly ear cleaning, and twice weekly to administer austrazole/cortavance mix to the ears (1ml each ear) Discuss overall skin as O concerned if he doesn't maintain well on the hypoallergenic - anallergenic is the next step - but also bursts of pred or even long-term pred are a potential for this dog if it comes down to it (QOL etc) - or consider Atopica    Vital Signs