C10004849 / invoice 10000

O's brother came in to pickup up 2 rolls - he said that his sister is the l=one looking after the financials? - JP    Vital Signs    

Appointment Notes: ears flaring up again. SGHistory:  Treated 3 months ago for L otitis with aurizon (marbofloxacin).Has been shaking head and scratching ears and licking paws recently.Diet prime 100 croc rollsJess going away for 4 weeks this week, brother will be looking after Lola - requsted LA treatment for ears.Examine: BARL ear: moderate erythema and discharge, R ear mild erythema and dischargeCytology L ear bacterial rods +++, R ear bacterial rods +Mild erythema dorsal and palmar/plantar aspect all 4 paws: cytology NADAssessment: Otitis externa bilaterally: worse L earpruritis pawsTreatment: Ears lightly cleaned - 0.8ml momentamax ultra applied to bothcytopoint 20mg given SCPlan: Recheck ears in 4 weeks, culture if otitis not resolvedStart elocon once infection resolved    Vital Signs    Weight: 11.7;