C10010616 / invoice 10000

Reason: Ear ProblemsSubjective: has been to another vet for multiple, recurring ear issuesHave not been able to get the hx from the other vet as yetprescribed epiotic and blue tablets (macrolone?)Now head shaking again and sore earsBehaviour/Temperament: Anxious FAS Score:Relevant Pre-Visit/EMR Information:Objective:HR/PR: 76Temp: 38.1MM: PM<2secPulse: matchingResp: nadHydration: nad GIT: nadU/G: nadEars/Skin: thick wax/hair plug inpacted at entrance to R ear.  Both ears hairy with thick brown discharge and erythemaEyes: nadM/S: nadDental: cleanOther: Assessment: allergic otitis externa and hairy earsTreatment: plucked plug out but not rest of hair (needs GA for this)Macrolone 1/2x 20mg BID 3d, then SID 5d, then EOD 8dDermotic BID both earsPlan: recheck ears in 10-14d even if doing well.  Assess if needs ear flush/pluck under GA.  May need elocon long term for managementFollow Up Call: Required: In (x) days.Improvement: Plan...No Improvement: Revisit...ORNot Required.    Vital Signs