C10018118 / invoice 10000

Reason: Potential Ear InfectionAppointment Notes: aaHistory: last infection in june last year adn been fine till last week or 2 and was treated with epiotic. Assessment: left ear full of debri and painful and cannot see tm, r ear clear and no issues, , no redness anywhere else . Chest and abdom nadVery mild plaque on upper arcade.PE strong and great body condition,.Diagnosis: pos grass seed in r ear with infectionTreatment: discussed ga as very painful and as been washing ear - pos ruptured tmPlan: start pain killers, ga and syringe ear canal and swabWarned if ruptured ear drum, consider home made ear drops only if accepts risks of use and discussed tonight.    Vital Signs    Weight: 33;