C10012422 / invoice 10000

Appointment Reason: Ear problem, Appointment Notes: O reports a shaking of her ears in eveings, O has flushed them out previous week. advised to not flush 3 days prior to this consult. LS  ------- Sms reply: YReason: been having occ flick of ears; worse in morning; then settles; been good otherwise; general skin ok, no lamenessExamination: mm pink, teeth good, LN WNL, HR 100bpm = pulse/strong/regular - no audible murmurs; abdomen relaxedL ear - nad to external pinna - canal moderately inflamed but without narrowing, some xs wax, TM normal; moderateley reactive to otoscopeR ear - nad externally, canal less red and less reactive to otoscope, TM visible and normalDifferential Diagnosis: L ear - external canal inflammation - mild atopy?Treatment: elocon lotion 0.5mL 2-3x weekly to controlTreatment Plan: assess response    Vital Signs    Weight: 33.6;