C10009682 / invoice 10000

Reason: EB Recheck EarsHistory: Mild improvement in ears, still some redness. EDDU normal, did one vomit yesterday no d+. Licking FLs and paws. No other concerns Examination: BAREars/eyes/nose - both ears clean and clearCardioresp - no murmur/arrhythmia, normal bronchovesicular soundsIntegument - lick staining bilat elbows, mild erythema skinLaboratory: Ear cytol - right ear NSF, left ear 3 yeast per HPFAssessment: OE not fully resolved left earTreatment: Consent has been given by the client to proceed with this treatment  -  YesDermotic - continue 0.7ml into LEFT ear for another weekCortavance spray onto cranial aspect of FLs ONCE daily for 5 days (wear cone afterwards)Plan:RV in another week, explained if still OE may go to different medication as could be resistant infection. O queried treatment for itchy FLs, has trialled malaseb but does not tolerate foot bathing, recommended cytopoint but O wanting something topical at home - go to cortavance and at RV can see if improvement.    Vital Signs    MMColour: Pink;       Weight: 9.95;       BodyScore: 5.5/9;       CRT: <2s;