C10007941 / invoice 20000

Reason: Recheck Ears With ECAppointment Notes: trHISTORY:- Recheck consultation for ear infection.- Henley has been on Auracol ear and skin suspension for two weeks as of yesterday (02/10/2025).- A follow-up one week ago noted a small amount of discharge remaining, so the treatment was extended.- Owner reports Henely is otherwise well, eating and drinking normally.- There is not much of the Aurizon medication left.Current meds: Auracol ear and skin suspension.Vaccination: UTDParasite Prevention: due NGS todayPre-existing conditions: Ear infection.Access to toxins eg. Rodenticide: noneExamination:BARNo audible heart murmurs or arrhythmias, pulse strong and synchronousNo crackles or wheezesCRT <2s, mm pink, moistDeciduous teeth presentLNs wnlNormal on abdo palpation. Soft and comfortable. No palpable masses or organomegalyEyes clear no dischargeEars clear no discharge or erythema. TM intact bilaterally. Both ear canals hairyRest of coat in good condition no areas of erythema or irritation or visible external parasitesNo umbilical herniaBoth testicles descendedLaboratory:Both ears clear no microbes seenAssessment:OE healedPlan:Advised to clean ears once weekly / every fortnightMonitor for signs of OEAdvised social RV in a few monthsConsent has been given by the client to proceed with this treatment  -  Yes/No--- 04/10/2025 10:59:59 AM CAC:Examinations - Resolved - sent txt cc    Vital Signs    Weight: 7.2;       HeartRate: 120;       DentalGrade: 0/4;       RespirationRate: 20;       CRT: <2s;       MMColour: P&M;       BodyScore: 4/9;       

Reason: Rc EarsAppointment Notes: IH  ------- Sms reply: YHISTORY:Recheck consultation for bilateral otitis externa (yeast). The owner reports Henley has been well and the ear drops have been administered as directed. The owner notes the ears seem constantly wet, which was explained to be a side effect of the oily drops. The owner does not report head shaking or scratching. The ears appear cleaner and have less discharge. Henley has gained 0.5kg in the past week.Current meds: Auracol ear dropsVaccination: UTDParasite Prevention: UTD NGS due next weekPre-existing conditions: Bilateral otitis externa (yeast).Access to toxins eg. Rodenticide: noneEXAMINATION:Body Condition Score: 5/9Cardiovascular: cardiac auscultation normal, normal rhythm, no heart murmurs or arrhythmias, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: full examination not completedMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): deciduous teeth present no tartar or gingivitis- Abdominal: no detectable pain on abdominal palpation. Soft and comfortable. No palpable masses or organomegaly. - Rectal: not performedUrinary: NSFReproductive: Both testicles palpable. Owner plans for desexing at approximately 12 months of age.Integument/Ears: Bilateral ear canals are not red or inflamed but are just hairy. No erythema or ulceration noted.Lymph Nodes: WNLEyes: NSFDemeanour/Behaviour: Bright, alert, and responsive.Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequatePROBLEM LIST:Bilateral otitis externa (yeast) - improving but not resolved.DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Bilateral otitis externa (Malassezia).DIAGNOSTICS:Repeat ear swabs were taken from both ears for cytology.- Cytology revealed 1+ yeast bilaterallyASSESSMENT:Henley's bilateral Malassezia otitis externa is significantly improved but not fully resolved after one week of treatment. Examination findings are otherwise unremarkable.TREATMENT:Continue current ear drop medication for one more week.PLAN:Recheck consultation in one week for reassessment and repeat ear cytology.Administer next NGS at the recheck appointment.CLIENT COMMUNICATION:Discussed the cytology findings, indicating a significant improvement but the necessity of continuing treatment for another week to fully resolve the infection.Advised to continue the ear drops for a further seven days. The current bottle should contain sufficient volume.Advised on cleaning Henley's head with a damp cloth rather than washing, to prevent water entering the ear canals which could predispose to future infections.Discussed management if he enjoys swimming in the future, recommending the use of an ear cleaner after swimming to dry out the canals. This should only be considered after the current infection has resolved.--- 27/09/2025 09:42:43 AM LTR:Examinations - Resolved - SMS sent    Vital Signs    Weight: 7.1;       HeartRate: 120;       DentalGrade: 0/4;       RespirationRate: 16;       CRT: <2s;       MMColour: P&M;       BodyScore: 5/9;