C10016210 / invoice 10000

Appointment Notes: flicking earsHistory: Main reason/complaint: past 2 weeks EDDU: normal Any V+/D+:   Preventatives: Medications: Examination: BAR BCS: /9MM pink, CRT 1.5sec  Oral exam: grade () calculus build up canines, rest of teeth mild plaqueCardiac: normal rate and rhythm. No murmur or arrhythmiaThoracic: lung field clear, no crackles or wheezes detectedAbdo palp: soft and comfortable; no focal pain, no mass/FB feltEyes: eyes are bright, clear; no discharge present.Ears: pinna/canals clean bilaterally, no waxy discharge present.Skin: WNLMSK: ambulatory all 4 limbs, no lameness, full exam not performed Neuro: mentation normal, BAR; full exam not performed today.Genitourinary: NAD R ear: malassezia 1+Assessment: Treatment:Plans: - weight loss, reduce calories     Vital Signs    Weight: 24.63;