C10005529 / invoice 20000

Diagnosis: otitis externa - resolved, underlying inflammation from allergy suspected  Subjective: Owner reports: had PVPs at 2pm O says that had drops for 2 weeks, and now is not scratching it as he was. Took some time for it to clear up. Had Ab for 2 weeks. Noticed some blood potentially under the right front limb. Eating and drinking fine. O noticed sometimes that kids are noisy and then gus will sit near the owner and going into the shower and under the coffee table to maybe get away from the kids.  Medications:Dermotic finished Objective: Cytology clear LFL interdigital pododermatitis with malassezia staining, is growling for exam Remaining vitals are normal Assessment: Suspect underlying allergy - atopy vs food Treatment:  Short apowuelMalaseb for feetDiet trial Plan:FUC in 2 weeks    Vital Signs    Weight: 11.2;       MMColour: p+m;       HeartRate: 128;       BodyScore: 5/9;       DentalGrade: 2;       RespirationRate: 24;       CRT: <2;       

Diagnosis: Reason: Chew EarsAppointment Notes: ------- Sms reply: YesSubjective: Owner reports:  Noticed ear Sat (-2 )  - Left ear A little varibal eappetite Appetite:  Diet:  Dry food + some wet + this and that Drinking:  More last 2 days Urination:  ok Defecation:  Ok Desexed:  YEs Worming:   Simpercia + Allwormer HWP:  Simperica Trio Flea prevention:  Simptrio Other medications:  None - no Trazadone today Objective: Mentation:  Shy - did take treats Eyes:  Ears:Oral Cavity: Thoracic Exam:Lymph nodes:Abdomen:Reproductive:Skin / Coat:Flea Comb test:Perineal / Ag's :Rectal Exam ( > 7yo) :Gait / Extremities:Assessment: Treatment: Plan: FUC arranged for +   days    Vital Signs    Weight: 11.2;