C10016529 / invoice 10000

Appointment Notes: Sore front right paw, licking. weight bearing. EDDU ok, occ V+ after pigging out grade 1 detnalright fore malassezia infection under paw.right ear malassezia infection in ear full of debris. left ear clear. other paws clean and clear.bit overweight need to reduce food to prevent obesitytreatcleaned right ear in consult.auracol 1.5ml right ear BID. 10dmalaseb on right paw every 2nd day for 1 week. maintain once a week. can also use elocon cream with cetaphil lotion to make own steroid leave in conditioner as well to help prevent skin inflammationfrom allergy and stop licking.    Vital Signs    Weight: 31;