C10016746 / invoice 10000

Reason: Vax And EarsAppointment Notes: HCHistory: Bravecto q 3 months. EDUD ok. No d/v/c/s.Has been scratching ears in the last 2 weeks. Lara has cleaner ears. Examine: BAR, BCS 6/9 DG 2/4 moderate tartar mm p+m crt <2sec HR 100 Ventral abdomen- no erythema, crusts or scales. L ear- no erythema. Mild brown wax. R ear- minimal brown d/c or erythema. Abdo palp comfortable. Laboratory: Ear cytology: L-1+ malassezia. No bacteria. R-1+ malassezia. No bacteria. Treatment:Nobivac pi/bb s/c (2534203, exp 06-2027) Nobivac lepto 2 (A003A01, exp 10-2026)- repeat in 2-4 weeks. Proheart 0.7 ml S/cDermotic 0.6 ml both ears BID for 7 days.    Vital Signs    Weight: 13;