C10009877 / invoice 10000

Reason: Possible Ear Mites/infectionDiagnosis: R otitis externa- yeast Subjective: R ear build up noted on Sunday, cleaning with ear cleaner 3 times daily and no improvement No scratching or shaking but redness noted Otherwise well EDDU all normal, no V+ or D+ Vacc UTD UTD f/w: simparica trioObjective: Microchip scanned between shoulder blades #: 991003000744649Mentation: BAREyes: NADEars: - L ear no build up, no erythema, cytology, TM intact: no organisms - R ear moderate build up, moderate erythema, TM intact, cytology yeast ++++Oral Cavity: G2 dental diseaseThoracic Exam: no HM or arrythmias, lungs clear bilaterallyLymph nodes: no enlargements SM, pre scap, inguinal, popliteal LNsAssessment: R ear otitis extena- malassesia Treatment: Applied first dose dermotic into R earPlan: Dermotic 0.4ml BID R ear 14 days Recheck with us or regular vet    Vital Signs    Weight: 9.3;       MMColour: pink;       HeartRate: 90;       BodyScore: 3/5;       DentalGrade: 2;       RespirationRate: pant;       CRT: <2;