C10004699 / invoice 10000

Reason: Ears / InfectionAppointment Notes: Booked Online: 09/03/2026 06:50:35 AMBooking Type: Skin, Ears, Eyes or LumpsBooking Notes: Ears seem to have a yeast infectionNurse: -vaccination -heartworm -worming -flea/ticks History: Frankie is presenting for an ear problem.Recurrent ear issues, approximately every six months. Presents with head flapping and shaking. A squelching sound is noted when the ear is scratched. Owner has been using an over-the-counter ear cleaning solution at home, but not regularly. No other clinical signs noted by owner, not itchy elsewhere.Adverse reaction noted to a six-monthly Bravecto spot-on flea/tick preventative (10-20kg dose for a 10kg dog). The product was dispensed in error instead of the usual three-monthly chewable. Signs included lethargy and depigmentation/flaking of the skin on the nasal planum, which is now healing. A note has been made on file to only dispense the chewable product in future.EDDU normally, no V+ or D+, coughing or sneezing.Examination:BAR, BCS 6/9Eyes: clean and clearEars: Both ears brown DC, L ear pinnae inflamed +++ and copious aounts of brown purulent debrisOral: C1/G1, normal occlusion, oral MMs pink and moist, CRT <2sThoracic: normal BV sounds, no murmur auscultated, fem pulses strong & synchronousAbdo: soft and comfortableMSK: ambulating all four limbsNeuro: appropriate mentationInteg: WNLLNs: all WNLRectal: not performed todayLaboratory: +++ Malassezia and neutrophils L ear onlyAssessment:Yeast Otitis Externa - L Ear Plan:Ears cleaned in clinic.Prescribed Dermotic drops (0.5mL into right ear twice daily for 7 days). Owner advised the ear may appear oily. Advised to gently wipe the ear but not to use other cleaners during treatment.Discussed re-check if not 100% resolved at the end of the course.Discussed long-term management options to prevent recurrence, including prophylactic use of Cortavance spray (+ antifungal) once weekly after the current infection has resolved, or increasing the frequency of routine ear cleaning to weekly/fortnightly.    Vital Signs    Weight: 10;