C10019881 / invoice 10000

Emma called. 
She said that Primrose had many instances of d+ last night and v+ overnight. 

There seemed to be something solid and foreign in her v+ (unrecognisable though).

Primrose also had more d+ and v+ (more dry heaving then liquid) on a walk today. 

Advised to go to AEC if concerned overnight or call and make an appointment for tomorrow.
ll 11.3

BROUGHT IN BY: Emma 

HISTORY:
Doing well at home. Ears still smell a bit but unsure if this is just from residual medication around the ears 
No v+d+
Has been playing with her ears and mouth as much as possible to desensitize her 

PEx:
ORAL: Pink MM CRT <2. Adult teeth erupting. 
HR: 100 no murmur 
RR: normal bv sounds
Ears: Inner surface of the pinnae oily from residual ointment. Cytology: clear 
BCS: 5/9     

ASSESSMENT:
resolved otitis externa

PLAN:
- recc fortnightly ear cleaning and after bathing/swimming to reduce reoccurrence 
- to check ears when under for spey procedure next month 

PET INSURANCE E - CLAIM 

Invoice Dates Covered:  20/10 

Vet approved:  AY

Date submitted:  21/10

Initials: sw