C10014082 / invoice 10000

Attending Nurse: Louise Farnsworth RVNOwner(s) Present: JulieHistory: Going ok at home. Have noticed itch starting to flare again, chewing feet. Would also like ear checked, starting to scratch and it smells a bit, worried she has an ear infection. No relapse of gut issues, EDUF normalParasite Control O using: Nexgard Spectra UTD at home               Vaccination & last given = C5 Oct 2025Diet= Anallergenic foodSupplements= nMedications= Apoquel and cytopontMicrochip checked= yes, working.Pet Insurance= YesExamination: n=normal, dne=did not examine.12 System Check:1- General appearance - BAR2- Oral - n3- Eyes - n4- Ears - R ear inflamed and purulent material present in vertical canal, horizontal canal mildly inflamed, TM ok. L ear unremarkable5- Abdominal - n6- Glands - n7- Skin - n8- Genito-urinary - n9- Musculo-Skeletal - n10- Neural - n11- Respiratory - n12- Circulatory - nLaboratory: Ear cytology: L= NAD, R= ++ cocciBlood sample taken for Alb at vetnosticsProblem List: Unilateral otitis externaIBD/lymphangiectasia - controlledTreatment: Cytopoint 20mg SC (820641)Dermotic 1ml R ear BID 7dPlan: Recheck ears 7dRecall with ALB resultsCytopoint in when itch flares again - can consider using apoquel in conjunction--- 11/03/2026 08:34:29 KJ:Insurance Form: Insurance claim submitted for dates :  chronic enteropathy monitoring, allergies, ear infection    Vital Signs    Weight: 18.2;       MMColour: pink;       Temperature: 38.1;       HeartRate: 104;       BodyScore: 3;       RespirationRate: 28;       CRT: 1;