C10011254 / invoice 10000

Reason: GAP* Recheck Ears THAppointment Notes: Overdue remindersReason: Client Present:Nurse:Healthy Pets Wellness Testing: Done Yes / NoVaccination Type:Intestinal worming:Heartworm Prevention:Flea Prevention:Tick control:Microchip:Insurance and Healthy Pets Plus:Behaviour concerns:Current medications:Current Diet:Type of Shampoo/Frequency:Toileting:__________________________________________________________________________History: Luna presented for recheck of her ears, see previous history. Been on surolan for L ear infection. L ear is much better - less red, Luna is scratching at it much less frequently.Continues apoquel PO and desensitisation injection for her atopic dermatitisExamination: BAREars - L ear canal normal, no ceruminous ear wax accumulationSkin clear today, no erythema, rashes. Skin paw pad/interdigital space normal.MSK ambulatory, normal musculatureOpth clear eyes, normal pupilsLaboratory: Ear cytology- L ear no yeast/bacteria notedAssessment: Otitis externa resolved.Atopic dermatitis ongoing- discussed trialling cytopoint or Zenrelia to help manage pruritus - owners decided to try cytopoint todayTreatment: Cytopoint 20mg SCCortavance spray + austrazole - administer 1ml into each ear TWICE weekly (spaced 3-4 days apart)Consent has been given by the client to proceed with this treatment  -  Yes/No Plan: Recheck pruritus responds in 3-4 weeks to the cytopointScripts Needed - Yes or NoRevisit needed - Yes or No - ____ Days pleaseHistory-Update:Consent has been given by the client to proceed with this treatment  -  Yes/No Reason: Nurse: -vaccination -heartworm -worming -flea/ticks Exam: Lab: Assessment: Treatment: Plan:    Vital Signs    Weight: 11;