C10006034 / invoice 10000

Reason: Recheck Ear InfectionAppointment Notes: cant do sooner, doesnt finish work till 4pm - aware this is not JLS  ------- Sms reply: Yrescheduled from 4;40pm with MAj due to being behindHistory:Recheck ears - after 23.2.26 - dispensed Dermotic + Otoflush - for yeasts + cocci seen in L-ear cytologyEar scratching at home - reports 99% resolvedNexgard SpectraExamination:  1. Demeanour: BAR    2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD  5. Ears:Left ear - mild brown wax on tip of ear swab.Right ear - NADLaboratory:Test: Cytology - Ear swab bilateralTest: In house Diff QuickResults: Left ear - Mild yeasts, mild dermotic crystals visible. No WBC, no bacteriaRight ear - NADAssessment:Previous L-ear cocci - resolvedPrevious L-ear yeasts - much reduced- continue Dermotic for another week- have Otoflush on hand for after swims  6. Nose: NAD  7. Oral Cavity: all temporary teeth erupted  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: No umbilical hernia, no inguinal hernias   12. Rectal: not done  13. Genital:   14. Skin and Coat: NAD  15. Musculoskeletal/Gait: no hind dew claws  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment: 21.1.26 Castration + deciduous teeth removal23.2.26 left otitis externa - with yeasts and cocci - Dermotic, Otoflush9.3.26 Recheck ears - L-ear cocci resolved. L-ear yeasts minimal. Continue Dermotic for another weekPlan: 1.Yearly C7 vaccination due 28.10.262. Monthly Nexgard Spectra chew – controls heartworm, fleas, ticks, roundworm, hookworm, whipworm and demodectic mange. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.3. Three monthly tapeworming – Popantel4. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.5. Feed puppy food until fully grown, approx 1 year of age – e.g. Hills 6. Microchip:- Microchip registration - Register online before 12 weeks of age at www.petregistry.nsw.gov.au.- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.7. Grooming - Touch the face and feet a lot, this allows future grooming to be easily performed.8. Consider Pet Insurance for your pet.9. Ear infection- 23.2.26 Ear infection - L-ear yeasts and cocci- 9.3.26 Recheck ears - L-ear mild yeasts still remaining - continue Dermotic for another week- Ear infections may be caused by an underlying skin allergy. Skin allergies cannot be cured, and they will recur. We can only control the clinical signs.- Consider a food allergy as a component of the skin irritation. We can perform a 6 week food elimination trial with a prescription diet  (Hills ZD fed exclusively for 6 weeks minimum). Hills ZD contains high quality hydrolysed proteins, essential fatty acids and antioxidants.- Otoflush Ear Cleaner - A neutral buffered ear flush formulated to clean the ear canal of wax and discharge, thereby improving the penetration of prescribed ear medications. Otoflush reduces microbial numbers and increases the susceptiblity to antimicrobial preparations. Instil 0.5ml-1.5ml Otoflush into the ear, massage and allow dog to shake out the excess, wiping clean with cotton wool. Repeat until the solution expelled returns clear. Repeat procedure twice daily for 7 days, before applying the medicated ear drops. Repeat once weekly for ongoing routine ear cleaning. Wait 10 minutes after cleaning the ears before applying the medicated ear drops.- Dermotic Ear Drops 40ml – Apply 8 drops into the left  TWICE a day for 14 days. Massage the ear base gently after application. Store the bottle upright to prevent leakage.- Recheck if the ears do not improve, we may need to clean the ears on a regular basis, perform cytology Idexx InVue in house $100, culture $333 for first ear and $241 for second ear, change ear medication, perform ear surgery or referral to a specialist dermatologist at SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.10. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.11. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple    Vital Signs    Weight: 10.08;       

Reason: Itchy EarsStaff Initial: RF1. Confirm name, address, phone and email details are correct. Y2. If this is a new patient, has the health questionaire been completed? If No, complete the questionaire.3. If this patient requires blood or urine tests, collect the sample. 4. Does the pet have pet insurance? If yes, confirm if using GapOnly service today or if history & invoice needs to be emailed. Provider and policy number required for GapOnly. N5. Will you be using VetPay? Check the file to see if this has been used previously. If yes, obtain the client’s VetPay PIN number and confirm they are the account holder or authorised user, and bill ‘A Vetpay’ questionnaire to be completed at the end of the consultation. NExamination:  1. Demeanour: BAR  2. Heart: no heart murmur  3. Lungs: NAD  4. Eyes: NAD  5. Ears: R ear- nad Left ear- mild erythema ,pale brown waxy discharge   6. Nose: NAD  7. Oral Cavity: all temporary teeth erupted  8. Lymph Nodes: NAD  9. Neck: NAD  10. Lumps: none  11. Abdomen: No umbilical hernia, no inguinal hernias   12. Rectal: not done  13. Genital:   14. Skin and Coat: NAD  15. Musculoskeletal/Gait: no hind dew claws  16. Nervous System: NAD  17. Behaviour: goodNAD = no abnormalities detectedAssessment: 23.2.26 left otitis externa Laboratory:Test: Cytology - Ear swab bilateralTest: In house Diff QuickResults: Left ear - malassessia ++, bacterial cocci ++Assessment: Mixed yeast. Bacterial infection Plan: 1.Yearly C7 vaccination due 28.10.26.2. Two weekly intestinal worming until 12 weeks of age, then worm every month until 6 months of age, then worm every 3 months for life – Drontal3. Monthly heartworm prevention – Start before 12 weeks of age4. Flea and tick control - 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Feed puppy food until fully grown, approx 1 year of age – e.g. Hills 7. Microchip:- Microchip registration - Register online before 12 weeks of age at www.petregistry.nsw.gov.au.- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.8. Gastrointestinal upset: Resolved - Feed a bland diet for a few days, i.E. Boiled chicken and rice or Royal Canin Gastrointestinal Low Fat (a food designed to support digestive tract health). Then if all OK, reintroduce the normal diet.- start the probiotics- prokolin- give 3ml twice a day for 5 days - Monitor the faeces for foreign bodies.- Monitor the energy levels, the appetite, and if there is any vomiting or diarrhea. Recheck if not improved $75, intravenous fluids $120, hospitalisation $50, radiographs $450-550, blood tests $699, faecal tests $397, specialist abdominal ultrasound $820, exploratory laparotomy from $1500, or food elimination trial may be required.9. Grooming - Touch the face and feet a lot, this allows future grooming to be easily performed.10. Consider Pet Insurance for your pet.11.Ear infection:- Ear infections may be caused by an underlying skin allergy. Skin allergies cannot be cured, and they will recur. We can only control the clinical signs.- Consider a food allergy as a component of the skin irritation. We can perform a 6 week food elimination trial with a prescription diet  (Hills ZD fed exclusively for 6 weeks minimum). Hills ZD contains high quality hydrolysed proteins, essential fatty acids and antioxidants.- Otoflush Ear Cleaner - A neutral buffered ear flush formulated to clean the ear canal of wax and discharge, thereby improving the penetration of prescribed ear medications. Otoflush reduces microbial numbers and increases the susceptiblity to antimicrobial preparations. Instil 0.5ml-1.5ml Otoflush into the ear, massage and allow dog to shake out the excess, wiping clean with cotton wool. Repeat until the solution expelled returns clear. Repeat procedure twice daily for 7 days, before applying the medicated ear drops. Repeat once weekly for ongoing routine ear cleaning. Wait 10 minutes after cleaning the ears before applying the medicated ear drops.- Dermotic Ear Drops 40ml – Apply 8 drops into the left  TWICE a day for 14 days. Massage the ear base gently after application. Store the bottle upright to prevent leakage.- Recheck in 14 days or before  if the ears do not improve, we may need to clean the ears on a regular basis, perform cytology Idexx InVue in house $100, culture $333 for first ear and $241 for second ear, change ear medication, perform ear surgery or referral to a specialist dermatologist at SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.12. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.13. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple--- 26/02/2026 16:05:59 RMC:Treatment - Resolved - Recall: done by - initial: AZAny problems medicating Louie? NoWhat dose of medication is being used for Louie? i.e. how many tablets/mls and how often. Confirm this is the correct prescribed dose. Applying 8 drops into left ear BIDAny other problems with Louie? no, improving well, eating and drinking well    Vital Signs    Weight: 9.99;       MMColour: Pink;       HeartRate: 130;       Temperature: 38.7;       BodyScore: 5;       CRT: < 1 sec;       

Reason: Chewed Suture Out Over NightAppointment Notes: requested JY if JLS is not availableExamination: OYCastrate wound - healing well, not moist, no blood or discharge coming out No skin sutures found- Loui took out all of them No skin inflammation around the wound Still on Noroclav EDDu as normal Louie has had collar on Client Communication: Advised daily cleaning with salty water until complete healingAdvised finishing antibiotics Recheck if concerned Plan: 1.Yearly C7 vaccination due 28.10.26.2. Two weekly intestinal worming until 12 weeks of age, then worm every month until 6 months of age, then worm every 3 months for life – Drontal3. Monthly heartworm prevention – Start before 12 weeks of age4. Flea and tick control - 3 monthly Bravecto. Perform daily body searches for ticks. Monitor for signs of tick paralysis: gagging, vomiting, off food, excess panting, weakness in back legs and change in bark. If you see any of these signs, a recheck is advised, and tick antiserum may need to be given.5. Bathe in a soap free shampoo, e.G. Aloveen shampoo. Which leaves the natural oils in the coat. Apply a leave in conditioner. E.G. Aloveen conditioner.6. Feed puppy food until fully grown, approx 1 year of age – e.g. Hills 7. Microchip:- Microchip registration - Register online before 12 weeks of age at www.petregistry.nsw.gov.au.- Microchip contact details - Keep your address/contact details up to date online at www.petregistry.nsw.gov.au.8. Gastrointestinal upset: Resolved - Feed a bland diet for a few days, i.E. Boiled chicken and rice or Royal Canin Gastrointestinal Low Fat (a food designed to support digestive tract health). Then if all OK, reintroduce the normal diet.- start the probiotics- prokolin- give 3ml twice a day for 5 days - Monitor the faeces for foreign bodies.- Monitor the energy levels, the appetite, and if there is any vomiting or diarrhea. Recheck if not improved $75, intravenous fluids $120, hospitalisation $50, radiographs $450-550, blood tests $699, faecal tests $397, specialist abdominal ultrasound $820, exploratory laparotomy from $1500, or food elimination trial may be required.9. Grooming - Touch the face and feet a lot, this allows future grooming to be easily performed.10. Consider Pet Insurance for your pet.11. Castrate wound - keep the collar on to stop him licking at the wound - begin the oral antibiotics- 10.00 x Noroclav Tablets 250Mg Give 1/2 tablet twice a day for 10 days - recheck at suture removal or before if concerns 12. For after hours emergencies contact SASH at Prospect on 8609 9444, SASH at North Ryde on 9889 0289 or ARH at Homebush on 9758 8666.12. Check out our First Aid App for Pets. This app has been professionally written and edited by Australian veterinarians. It includes over 130 helpful first-aid articles that are all relevant for Australian pets. The First Aid App can be downloaded for FREE from the Apple Application Store (iPhone) or from Google Play (Android). Alternatively, you can scan the QR code from our website www.orchardhillsvet.com.au.    Vital Signs    Weight: 8.41;