C10011055 / invoice 10000

Reason: Ear InfectionHistory: Last night he was up all night shaking his ear, going outside a lot (but also has D+ from different dry food given by owners)Owner noticed black discharge in his ear and cleaned his ear with Otoflush.Examination: Left ear contains dark brown, ceruminous discharge, swabs taken (inflamed)Right ear normal - swab takenLaboratory: Ear Swab LEFT Ear - budding Malasezzia pachydermatitis +++++Ear Swab RIGHT Ear - no microorganisms seenAssessment: Otitis externa (Unilateral) - LEFT - MalasezziasisTreatment: 1. Dermotic 0.8ml BID for 2-4 weeks2. Drontal 35kg dispensedPlan: Repeat ear swab before stopping ear medicationDiscussed hydrolysed protein diet trial for 8 weeks and INI referral to dermatologist.    Vital Signs    Weight: 32.7;