C10017234 / invoice 10000

Reason: Appt: Ears And AgsHx:Rubbing ears again for one week and R ear may have another haematoma nowR aural haematoma sx last Sept healed well+OE cleared with polox gel bilat x2 dosesEDUF normal, no V+/D+Scooting latelyMeds- nilPE:BARBilat ears (muzzled in tx room- calmer in xray room): marked brown discharge bilat, L ear worse, TMs not visible, otoflush cleaned, cytol: 2-6 malassezia/HPF bilatR pinna cauliflower appearance from previous aural haematoma sx, slightly thickened, no current rpt aural haematomaBrief oral exam, only, low grade dental dz only?MM PM, CRT<2sLNs WNLHR 100 , no murmur or arrhythmiaRR panting , normal lung sounds bilaterallyCoat WNLAGs expressed- full bilat, normal brown liquidProblem list:1.  Bilat OETx: Polox gel bilat once O collect from Maylands he will call back to book in with nurse for application, then rpt one week later with nurses, then 2w vet RV to check and start novasone weekly or biweekly for maint once OE cleared. Pred 30mg SID 4d then 20mg SID 4d then 20mg EOD 4 doses. Can cause PU/PD/PP. Script:Rx:	 Enrofloxacin 1.5%, Ketoconazole 2%, dexamethasone 0.1% in poloxamer ear gelMitte:  4x 2ml syringesSig:  Nurse to instill one syringe per ear, repeat one week later, then vet revisit 2 weeks later. Repeat: 0    Vital Signs    Weight: 40.4;