C10008368 / invoice 10000

Reason: Ears + Anal GlandsHistory: Scratching ears the otehr day until criedLicking paws on the weekend, O suspect was from grooming visitLicking vulva fow a whileEDDU wnlDiet: dry food and a little wet foodAnxious, has also increased when other dog passed away- On fluoxitine Regular hx of anal gland expressionBeen V+ every once and a while-O thinks been getting into somethingExamination: Increased keritonisation around the vulvaEars: clean no signs of inflammtionLaboratory: Assessment: Differential Diagnosis: Diagnosis: Treatment: Express anal glandsPlan:Offered cytology O declined for ears    Vital Signs    Weight: 10;       BodyScore: 4/9;