C10008672 / invoice 10000

Appointment Reason: Ear problem, Appointment Notes: Ears seem inflamed again - User: Dr. Hanson Tan Original Appointment Type: WEB - Consultation - 1. HansonDiagnosis: bilateral otitis externa malassezia --------SUBJECTIVE:--------Owner reports:- ears seem to be playing up last week or so - poss weather related ? - otherwise has been well Appetite: normal Diet: same Drinking: nadUrination: nadDefecation: nad Desexed: NWorming:HWP:Flea prevention:Other medications:  none ---------------OBJECTIVE:---------------Mentation: Eyes:Ears:- bilateral erythema + dark brown ceruminous d/c present + pruritis Oral Cavity: Thoracic Exam:Lymph nodes:Abdomen:Reproductive:Skin / Coat:Flea Comb test:Perineal / Ag's :Rectal Exam ( > 7yo) :Gait / Extremities: both stifles ok patellas ok, extension R hip sl sore/sensitive perhaps? no ambulatory lameness ------------------ASSESSMENT:-------------------ear cytology - malassezia +++ bilateral Treatment: neptra both ---------------------PLAN:--------------------FUC + 4 weeks     Vital Signs    Weight: 15.5;