C10009049 / invoice 10000

Reason: VaccinationsAppointment Notes: Coming in with Archie ---->KEBHistory:Does headshake and scratch at R earO uses PMP sometimes to keep settledAlso chews feetEDDUOn Simparica TrioUses antihistamine daily but doesn't help muchPhysical Examination: HR and RR wnl, BCS 3.5/5Abdo palp NADMSK NADLN wnlOral exam mild tartarSkin - mild lick staining feetEars - brown debris both earsEyes NADLaboratory: Both ears yeast ++Assessment: likely atoptic dermatitisAdvised if not helping can stop antihistamineAdvised treat ears until fully resolved - recheck 2 weeksAt that stage happy to supply Cortavance/Austrazole or just Cortavance to be used in ears twice weekly and on feet as neededRecommend malaseb washed for feetCan consider cytopoint or apoquel if still itchy    Vital Signs    Weight: 11.2;