C10010915 / invoice 10000

Reason: Swab Lip For Culture Test as discussed in previous consults.    Vital Signs    

Reason: Recheck EarsHistory: Marley is presenting today for reassessment of otitis externa of the right ear. He has been administered Dermotic to the right ear twice a day for 7 days. He is no longer shaking his head, however, the owner reports that Marley will yelp when the ointment is being administered. Marley has also been administered Cephalexin BID for the last 3 weeks for buccal pyoderma. The owner reports the borwn material has resolved, however, there is still a moist lesion presentMarley is eating, drinking, urinating, and defeacating normallyThe owners will be travellilng to NSW with Marley and Millie to adopt a new dog. Philippa has purchased a Seresto collar and would like me to place it on him today.Examination: BAROtoscopic examination: Right ear canal mild stenosis with no overt inflammation. Tympanic membrane intact bilaterally. Left ear unremarkableBuccal lesion was examined- focal, demarcated pink crusty lesion present. Dry at the moment.Laboratory: Ear cytology unremarkableAssessment: Otitis externa has resolvedBuccal pyoderma improvedTreatment: NilConsent has been given by the client to proceed with this treatment  -  Yes/No Plan:Continue to monitorRecommend culture swab of buccal lesion in 3 days (post last administration of Cephalexin). If results come back negative, consider biopsyPlaced Seresto collar onto Marley today    Vital Signs    Weight: 20.9;