C10014219 / invoice 10000

Reason: MRP Ear RevisitAppointment Notes: kvs  ------- Sms reply: YPrevious known history: PennHIP results: 0.64 (moderate risk)Allergic dermatitis - seasonal - responds to cytopoint, USMI - responded to stilboesterol, not currently on it and has remained continent7/10/24: Periocular dermatitis.April 25: Unilateral otitis externa LEFT, Overweight; 4kg weight gain in last 4 months06/05/25: OE resolved - likely still allergic component. Overweight. Periocular allergic dermatitis - mild vs Entropian 30/09/2025:Acute hypersensitivity reaction suspected, Nirmaine 1.4ml SC  Dexapent 0.84ml SC 3/3/26: Bilateral otitis externa - Atopy and pruritis flare up Current Medications & Dose: Cytopoint 30mg SC Apoquel 16mg PO SID as required on really itchy days Easotic SID into BOTH ears History (from Owner): unremarkable unless stated  Appetite:  Diet:  Drinking:  Energy Levels:  Urine:  Faeces:  Vaccination Status:  Parasite control:  How have they been since last visit?Examine: unremarkable unless stated  Behavioural:  Mentation:   Gait:Hydration Status:  unremarkable unless stated   MM Moistness/Eye Appearance/Skin Turgor-Physical Exam (See Vital Signs):   unremarkable unless stated  Thoracic auscultation:  Pulse rate/quality:   Abdominal palpation:  Eyes/Ears/Nose/Mouth/Teeth:  Skin/lymph nodes:  Musculoskeletal:  Reproductive:Assessment:Treatment (See invoice items and client information): Plan (See medication labels, reminders and instructions):Laboratory:    Type:  Test:  Results:    Vital Signs    Weight: 27.7;