C10010499 / invoice 10000

Reason: Ears +/- Pyoderma ?Appointment Notes: Overdue remindersHistory: Scratching his ears, never had any ear issues beforeNo change in diet, env, haven't been swimming Examination: BAR, MM pink and moist, CRT 1 sec HR heart auscultation normalRR panting BCS 5/9 Ear- mild erythema on both ear pinnae- moderate amount of dark discharge from both ear swabs- non painful whn ear swabbed Oral exam- grade 1/4 Integument- focal, ulcerated, oozing discharge area on his R cheek - rest of skin NAD Laboratory: Ear swab cytology- yeast 4+, L worse than R Assessment: Bilateral OE- yeast Moist dermatitis on R cheek from scratching at his ears Treatment: Chlorhexadine solution clean BID Cephalexin 22mg/kg PO BID x 7 days Epiotic SIS ear clean SID x 2 days then EODPMP 1ml into both ears BID x 7 days E-collar to prevent self trauma Written down the instructions for male owner to give to female owner to perform treatment as requestedConsent has been given by the client to proceed with this treatment  -  Yes Plan:Recheck ears and hot spot in a week time    Vital Signs    Weight: 58.07;       RespirationRate: pant;