C10008571 / invoice 10000

Reason: Recheck Ear RTHistory:O notes seems to be better at home, no longer scratching at ears. Stopped meds 10d ago. Still EDUD ok, no concerns. Examine:Assessment:Differential Diagnosis:Laboratory:Plan:Declined-Deferred Services:List Services offered/Reason declinedOther Services provided:Laboratory:  Type:Test:Results:    Vital Signs    Weight: 4.16;       MMColour: pink;       HeartRate: 160;       BodyScore: 4.5/9;       RespirationRate: 50;       CRT: <2s;       

Reason: Recheck  LMZ  O phoned to cancel app. She said she will phone back to reschedule  LMZ    Vital Signs    

Reason: Check Ears SBHistory: O notes has been scratching at ears past few days, ears are smelly as well. No change in EDUD habits, still happy in herself. Examine:Body condition score: 4.5/9Eyes: NADEars: on otoscopic exam, moderate erythema and moderate bilateral waxy discharge. On cytology, ++yeast bilaterallyTeeth/mouth: very mild tartar on upper L canines, otherwise NADChest: clear on auscultation, no audible murmurAbdomen: NAD on palpationUrogenital: NADDigestive: NADLymph nodes: submandibular, prescap and popliteal WNLSkin: NADLocomotion: ambulating well in consultNervous System: BAR (nervous but good for exam), normal mentationAssessment:Bilateral otitis externa, otherwise clinically wellDifferential Diagnosis:Malassezia otitis externa v otherPlan:Informed consent granted. Discussed findings with O, adv dermotic BID for 14d then recheck with vet. Can do desexing then as well if all clear. Adv dental care at home (brushing, greenies, plaque off). O happy with plan.    Vital Signs    Weight: 4.14;       MMColour: pink;       HeartRate: 150;       BodyScore: 4.5/9;       DentalGrade: 0;       RespirationRate: 40;       CRT: <2s;