C10007679 / invoice 10000

Reason: Check Ears & Nail TrimAppointment Notes: Has been shaking his head often. tbHistory: Shaking head, L ear a bit spre, otherwise well.Impossible to clip nails at home.Dental score: 0Body Condition Score: 6/9Physical Examination: BAR, colour & refill good.Eyes clear.Mild otitis, L ear sl inflamed, mod discharge deep in canal. No visible FB.NADthorax or abdomen.Skin generally OK.Laboratory: Ear cytology: scant yeast but as ears quite irritated, will treat.Discuss bid vs weekly Osurnia: Linda opted to try PMP.Treatment: Clip nails (with difficulty).Ears lightly cleaned.Start PMP 0.3 mls bid both ears.Plan: Recheck ears 2 weeks, sooner if getting worse or INB.If no managing drops at home, return for Osurnia course.    Vital Signs    Weight: 15;       HeartRate: 120;