C10020820 / invoice 10000

Appointment Notes: Winston (Dog) - Consultation [Clinician : Dr. Ella Hodgen(No Preference)] - Itchy earsWeb BookingClient name: Georgia SaggeseContact number: 0429834703Email address: saggese.georgia@gmail.comPatient name: WinstonHistory: Licking & biting paws Shaking and scratching head - had drops from 2023 ran out then been cleaning with dog ear wash but still not helping Itchiness comes and goes - O thinks seasonal Diet: kibbleLaboratory: Ear cytology L ear malassezia ++, cocci +++R ear malassezia +++, cocci + Assessment: Otitis externa ddx allergies (likely environmental)Treatment: 0.5ml surolan SID both ears 14 days 5mg pred 4 days then taper for inflammation Plan: Recheck day 15 to ensure infection cleared Discussed ongoing management during allergy season - cytopoint once inflammation down, offered today - O declined and going to think about. May give on revisit.     Vital Signs    Weight: 6.5 (Patient Update);       MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Abnormal (interdigital skin erythematous - particularly on metacarpal/tarsal pads );       MusculoSkeletal: Normal;       Ears: Abnormal (Ears erythematous and scaly, mild amount of brown/yellow wax in both canals, TM intact );       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       Demeanour: BAR;       Hydration: Normal;       HeartRate: 120;       RespirationRate: 20;       BodyScore: 5;       CRT: 1-2;