C10019967 / invoice 10000

Ear infection & licking feetHistory:- shaking head a bit recently; ear infection?- licking at front feet which is unusual feet have never been an issue for her- O trying to keep weight loss journey going for Libbie but other pet at home very unwell and going through chemo so O hasn't been able to focus on Libbie as much as she would likeDiet:  RC anallergenicParasite control: Vacc history:   due in 2 daysCurrent medications:  noneVomiting / diarrhoea:  nilDefecation: Urination:  normalEating/drinking:  normalExam:Mentation BAREyes - clear, cornea all appears WNL, no tear stainingEars - LEFT ear inflammation and some brown discharge in canalRight ear mild inflammation but no dischargeCytology:  LEFT EAR malassezzia +, cocci traceRight ear some inflammatory debris but no bugsNose - clear, no dischargeOral - DS 1-2, mm pink and moist CRT<2sThyroid palpation - all palpates normalLymph nodes - all WNLCardiac: NADRespiratory:   NADAbdo - soft and pliableGenitourinary clearMSK - NAD, no obvious patella luxation today, comfortable on ROMNeuro - clearIntegument - *both front feet prominant errythema between toes/padsCytology; inflammatory debris., no obvious yeast/bacteria loadTemp  not takenBCS 4/5 - needs to lose 2-3kgAssessment: 1) Left ear infection2) front paws interdigital inflammation 3) needs to lose more weight4) book in for dental during upcoming dental month periodPlan:dermotic 0.7ml BID into LEFT EAR  &  pred 5mg BID for 4 daysRevisit require: 1 week for recheck ears/feet and likely vaccinate    Vital Signs    Weight: 16.2;