C10009720 / invoice 10000

Reason: Recheck Ears, Q's To DiscussAppointment Notes: Special payment terms exist One possible GIT episode in October- after eating beef.Has been off beef since then, no further episodes. Exam:Ears: PE normal Cytology normal Feet now normal Assessment: Otitis resolved. Pododermatitis resolved. GIT issues resolved, possible beef allergy. Treatment: Owner has mometasone to use if feet or ears flare (discussed signs to look for if medicated ear drops required). Wait until 4 months of stable GIT signs, then can retry beef again.    Vital Signs    Weight: 19.7;       

Reason: EarsAppointment Notes: ebSubjective and History:Ears bothering her, has been scratchingObjective: Bilat ears red, mild discharge.VERY sensitiveSmear - malassezia 2+Treatment: Neptra both earsPlan: Recheck ears in 2-3 weeks    Vital Signs    

Reason: Itchy FootAppointment Notes: Reeta (Dog) - Tracey Peters - 0402785488 - Consultation Standard (one concern and rechecks) [Clinician : Dr. Kate Clair (Preferred Clinician)] - Itchy & irritated foot  - You’re the best!! Web BookingClient name: Tracey PetersContact number: 0402785488Email address: traceypeters@optusnet.com.auPatient name: ReetaSubjective and History:Licking LH paw recentlyRest of skin okBAR otherwisePhysical Exam:Mm pinkCrt< 2secEyes okEars; very mild malassezia numbers eg 3 per HPF, very minor more dark discharge. Left hind interdigital erythema, one small ulcer shallow ulcerated area on medial side of digit 5Cytology: no neuts, no malasseziaAssessment: Ddx: interdigital superficial pyoderma, mild itch/allergic or possibly had insect bite originally and ongoing itch/ self traumaPlan: Not clinical for itchy ears at the moment so monitor for now. Clean ears with epiotic q fortnightChlorhex twice daily x 10-14 days on pawMometasone lotion twice daily for 5-7 days on paw. Ecollar if needed. Continue to avoid beef as has better git signs on this.    Vital Signs    Weight: 19.4;