C10011801 / invoice 10000

Reason: Chevck Skin And Anal GlandsHistory: Rd ears and warmPays attention to anusExamination: BARBoth ears pinna vert canal erythemic and mild yellow exudate, TM intactPerineum erythemicVentral abomen mild lichenificationEyes normalTeeth grade 0HR 92=PR no arrythmia or murmur Resp normalAnal sacs very full bothMSK nadMild overweightLaboratory: NoneAssessment: Mild OEMild perineal erythemaAnal glands fullDifferential Diagnosis: Diagnosis: AtopyTreatment: Epiotic SIS weeklyApoquel 16mg bid until erythema and heat gone, repeat as necessaryNobivac BB/Pi 2526207 - as may require antibioticsPlan:CortOtic.?? Likely to help this type of ear.    Vital Signs    Weight: 32.2;