C10013188 / invoice 10000

Itchy ears

Consultation
Reason:

Hx:
BAR, edud, no changes to this.
Occasionally scratches at ears, no recent change in frequency etc.
Has small 0.5-1mm skin scab lesions, suspect related to pores/hair follicles. These go away when owner applies tea tree oil.
NGS utd each month
Diet - dry and wet food - hills science diet. Gives a little tuna in spring water with his dry food, 1/3-1/4 of a small tin per dry meal.
Hills dry/wet is 80%+ of his diet, small amount of eggs, tuna etc.


PEx:
Mentation: BAR
BCS: 5/9
Eyes: nad, minimal clear discharge at minial canthus collecting on long hair
Mouth: mm pink, moist, CRT <2s
Teeth: Dental grade 0-1/4, no gingivitis, minimal discolouration, no calculus visible. Significant underbite
Nose: nad
Ears: nad, minimal waxy debris, hairy in horizontal ear canal but tympanic membrane visualised ok, skin of pinnae and canals not inflamed at all
Chest:Clear chest, no murmurs or arrhythmias noted. No crackles or wheezes on auscultation. HR/RR wnl
LNs:WNL
Abdo:Soft, no organomegaly palpable
Musk: nad, normal gait etc

Offered cytology to rule out ear infection, discussed seems unlikley based on appearance of ears and minimal/no clinical signs so deferred today.
Dispensed gentle ear cleaner for use every 1-2 weeks as needed for waxy debris.

Px:
Monitor ears - bring back for cytology if scarctyhing increases. Consider trialling ear plucking - to be done by groomer. Not essential but may help ears dry out faster after swimming.
Monitor skin lumps - too small to FNA but bring back if they increase in size