C10007236 / invoice 10000

Reason: Recheck Ears Following Mometomax UltraAppointment Notes: Owner originally booked on 02/03 but had to push back 1 week as they are moving house - Dr Hamish said this is OK.History:Presenting for: Remy Martin presented for follow-up examination of ear infectionHistorical Conditions: Previous ear infection treated with tablets (unsuccessful) followed by injectable medicationCurrent Meds: Recently completed all medications for ear infection treatmentLifestyle Risk Factors: Swimming at camp in Arcadia (suspected source of ear infection), grooming avoided due to infection riskExamination:Behavioural: Anxious during veterinary visits, does not tolerate head handling well, becomes vocal around smaller dogs, strong and difficult to restrain when out of comfort zone, no pre-visit anxiolytics given todayEars: Infection resolved, no discharge present, owner collected ear swab samples from both ear canals for cytological examination - warned O that samples may not be representative of state of ears. Gave O option of bringing him back in on gaba/traz for recheck - O declined.Diagnostics: Ear cytology - infection cleared, no organisms visible on microscopic examinationAssessment:Otitis externa - resolved following injectable treatmentPlan:Additional Discussion:- Monitor for signs of recurrence including discharge, redness, head shaking, scratching, or ear sensitivity- Grooming now permitted- Pre-visit anxiolytics available for future appointments if needed to facilitate examination and procedures    Vital Signs    Weight: 34.6;