C10007556 / invoice 10000

Appointment Notes: ear recheck  ------- Sms reply: Yes Here for ear recheck following Dermotic, no issue applying them at homealso on apoquel occasionally scratches ears at night (reported by female owner, male owner does not agree) - but not excessivescooting againNo straining to defecate and faeces well formedDUDE well, no D/V/C/S, no other concernsAssessment:Dried faeces stuck on furOE cleared AGs fullDiscussion:Discussed anal glands, otitis cleared and keeping ear cleandiscussed dried faeces around bum, discussed monitoring for constipation, faecoliths, keeping hair around rectum short etc Tx:emptied AGs bilaterally cleaned around rectum Plan:Express AGs PRNRV if any concerns     Vital Signs    Weight: 11;       MMColour: Pink;       HeadEyes: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal (clean externally, cytology NAD);       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Abnormal (dried faeces stuck around rectum, AGs full bilaterally, easy to express, rectal exam NAD);       Demeanour: BAR;       HeartRate: 100;       RespirationRate: 20;       BodyScore: 6;