C10007416 / invoice 10000

Reason: Re-Check Ear Inection TDHistory:Moose has still been shaking his head & flapping his ears quite a lot at homeExamination:Mentation: BAR, nervousEars:R ear some wax build up, but infection has cleared.L ear quite painful still, resents examTaken to trt room. R ear cleaned with EpioticL ear- still quite a lot of discharge & chunks of wax. No FB seen & could visualise TM. Cleaned with EpitoicAssessment:R OE resolvedOngoing L OETreatment:Continue 1ml Dermotic bid q7 L earClean L ear eod with EpitoicPlan:'o' might need to pick up more dropsRecheck in 1wk    Vital Signs    Weight: 34.5;       HeartRate: 120;       BodyScore: 5;       RespirationRate: pant;