C10009679 / invoice 10000

Appointment Reason: Recheck, Appointment Notes: ears. klHISTORY: Check on bilat OEEar pruritus and pain continuing to resolvedPedal pruritus resolvedNormal appetite and demeanourCURRENT DIET: RC Anallergenic; Prime 100 Kangaroo /Boar/Turkey/CrocodileV beef allergic PREEXISTING CONDITIONS:  Food intolerance (GIT signs) CURRENT MEDICATION:  fluoxetine 30mg SID  : Clonidine 150ug x 1 for groomingPE:T-Not takenHR/CARDIAC-No murmur NSRRR/RESP-Normal lung sounds and resp effortMM-NCRT-NLNN-NABD-NBCS- 6/9 Ideal BW approx 9.5kgOTOSCOPY/EARS: Allowed superficial otoscopy R ear : mild erythema, mild swelling and brown debris inner pinna and entrance to vert canal.  Vert canal and hrz canal briefly examined - mild erythema/swelling.  Would not allow deep otoscopy to assess TM. Pain much improvedCytologuy : malass 4-5/hpfL ear : mild erythema, swelling and mild to mod dry crumbly debris inner pinna only. Will not allow deep otoscopy to assess TM. Cytolopy : malass 4-5/hpfORAL HEALTH: Gr0 -1EYES: NMSK: Bilateral medial patellar luxation  Gr1-2 LHS, Gr2 RHSasymptomatic INTEGUMENT: V mild persistent erythema ventral forepawsUROGENITAL: NCNS: Not routinely examinedPROBLEM LIST:Bilateral malass OE - improvingSuspect malass hypersens Mild pododermatitis- resolvingAllergic skin disease - atopic dermatitis most likely Patellar luxationRX:Dermotic 0.5ml BID AU 7d, thenNovasone lotion 0.3ml weeklyAU (owner has Novasone at home) Pred 5mg  : 2.5mg SID4d then discontinueFluconazole 50mg SID  (on order) for 14d total then twice a week for 1mthRecheck Tues next week INB - consider sedation/GA and ear check/clean Change to Zenrelia at recheck if OE resolved     Vital Signs    Weight: 11.7;