C10006449 / invoice 10000

Presented for two week duration sore L ear - have recently noticed discharge and head shakingNot particularly itchy elsewhere, historically has licked/chewed feet  Has previously had grass seeds in feet Otherwise well at homeDiet - RC Oral Care kibble Assessment:L ear moderate otitis externa - clumps of matted hair w/caked brown discharge entrance to vertical ear canal; moderate external ear pinna erythema; moderate volume brown/grey moist discharge horizontal ear canal R ear clear of discharge/debris, mild vertical canal erythemaMild lactoferrin staining palmar surface of the feet No other focal skin lesionsEarly calculus bilateral upper PM4s + M1s with associated gingivitis Treatment:Removed matted hair L ear, cleaned with EpioticDermotic BID L ear 10 days, RV after courseMonitor for foot licking/chewing, and for R ear irritation (consider Cytopoint)Plan:Rx GA dental S and P next 2 - 3 months     Vital Signs    Weight: 14.3;