C10012980 / invoice 10000

Reason: EarsAppointment Notes: esHistory: Had on and off ear infections for a couple of ears which settled with daily apoquel dosingLsat ear infection last year may Last couple of days has been scratching at his R ear Nomal eddu, no c/s/v/dExamine: BAR Paws look goodNad of skin around inguinal region or axilla R ear marekd aural discharge L ear mild aural discahrge Dislikes ear exam and starts to growlLaboratory: Cytology - yeast ++++ in R ear yeast ++ in L ear Assessment: Otitis externa - malassezia yesat Treatment: Increase apoquel to 8mg bid for 2 weeks Osurnia placed in bot hears Plan: Recheck in 1 weeks time. Consider mometama ultra at that time vs sedate and ear pluck/ flush    Vital Signs    Weight: 21;