C10007319 / invoice 10000

Appointment Notes: Shadow (Dog) - Vaccination [Clinician : Dr Will Cusworth(No Preference)] - Annual VaccinationsWeb BookingClient name: Letti MelbzContact number: 0424054234Email address: lettimelbz@gmail.comPatient name: ShadowHx:Pred and surolan for skin and ears - ongoingIncomplete control/response to cytopointWell o/whas changed diet to inc salmon oil and collagen and feels skin much improvedCE:Bilat otic inflammation, crusts/self trauma and dischargeL>R stenosis on scope, no FB, tympanum okRFL mild lick granuloma, volar change all paws and inguinal reaction with erythema and hair lossLaboratory:Ear cytology 3+ yeast, + cocci bilatA:Bilat otitisHealthy for vaccRx:KC booster inc oral BB and Sr12 injPred and surolan for dermatitis/ears     Vital Signs    Weight: 43.2;       MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Abnormal;       MusculoSkeletal: Normal;       Ears: Abnormal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       Hydration: Normal;       Gingivitis: 1;       Calculus: 1;       Observation: Normal;       HeartRate: 112;       BodyScore: 6;       DentalGrade: 1;       PainScore: 1;       CRT: 1-2;