C10007224 / invoice 10000

Appointment Notes: NK - Please call Clara to clarify grooming and everything. No need to check with Josef. But let him wear the muzzle on Charlie. NKSMS sent 06/02/26 - SSReason:  consult  History: Brought up from grooming. Was mentioned the R ear was very inflammed, painful, swollen and wet.Examine: Muzzled for exam - limited exam due to temperament.1. BCS:     3/52. Integument: nad3. Musculoskeletal: nad 4. Teeth: nad 5. Eyes: nad 6. Ears: nad R ear markedly stenotic, unable to look down ear canal esp given temperament. Moist, markedly erythemic and moist. L ear mild wax.7. Lymph Nodes: nad 8. Cardiovascular/Circulatory:   nad  9. Respiratory/Pulmonary:  nad 10. Uro-genital: nad 11. Gastrointestinal: nad ->11a Anal Sacs: not examined 12. Behaviour: 13. Other: Diagnosis: Cytology taken of both earsYeast ++ LEFT Yeast and cocci ++++, lots of neutrophilic streaming RIGHTTreatment: Ears thoroughly cleaned with otoflush.Applied dermotic.Cytopoint 10mg sc.Plan:Discussed with Clara ear infection present and requires treatment. O thinks it's just allergies with no infection. Discused that it's likely due to underlying allergies and that the ear's state at the moment is due to an infection, secondary to allergy.L ear not as severe, appears ok on exam, however likely this ear will become to same as the right if not treated Dermotic bid 7dRecheck 10 daysReminders  Updated: YES/NO when was last cytopoint injection : what dose was given? how long since itchness start again itchness at 1 week  /10itchness at 4 weeks  /10 itchness NOW     /10 History: 			Diet: Worming: Heartworm:Fleas: Ticks:  Medications:  Other (need a veterinary consult) :Examine: 1. BCS:     /5   ideal weight     kg  Weight Loss  Y/N 2. skina) belly b) pawsc) tail base 3. Ears: nad4. Teeth: nad 5. Eyes: nad 6. . heart:   nad  7.  Anal Sacs: not examined 8. Behaviour: 9. Other: when was last cytopoint injection : what dose was given? how long since itchness start again itchness at 1 week  /10itchness at 4 weeks  /10 itchness NOW     /10 History: 			Diet: Worming: Heartworm:Fleas: Ticks:  Medications:  Other (need a veterinary consult) :Examine: 1. BCS:     /5   ideal weight     kg  Weight Loss  Y/N 2. skina) belly b) pawsc) tail base 3. Ears: nad4. Teeth: nad 5. Eyes: nad 6. . heart:   nad  7.  Anal Sacs: not examined 8. Behaviour: 9. Other:    Vital Signs