C10023296 / invoice 10000

Had BNT last dose 1wk ago.Ears:Bilateral ears still yeasty discharge in canalsBoth TMs intactCytology 2+ yeast bilaterallyP: Dermotic 10d. RV in 2w.

Owner present: RubyHistory: Seems to be better in himself though Owner is still resting, mostly in the crate.No vocalising. But he is very anxious and may form a negative association bc of previous pain.O has stretched his legs out at home and he yelps however he is happy to stretch them out as per usual.Exam: BARmm pink CRT 1 secHR: 120, no murmurthoracic ausc: lungs clearabdomen: mildly tenseBCS 6/9Did not re-palpate back/legs as unrealiable as to whether pain is present or notEars Moderate yeasty discharge bilaterallyDiagnosis: Otitis externa bilaterally, likely yeastFit to vaccTreatment:KC injection: Nobivac BB/Pi B 2526207, 04-2027BNT 1mL each ear today. Rpt 1wk, RV 2wPlan: Will do cytology next visit, If all clear, discuss Elocon and Sonotix post swimming/bathing

Report Description:Differentials for a mild eosinophilia include parasitism (e.g. Angiostrongylus cantonensis, Dirofilariasis) and ectoparasites, allergies & hypersensitivities, eosinophilic lung disease, and paraneoplastic syndromes (lymphoma, mast cell neoplasia). Consider monitoring CBC to see if this is a persistent finding. Blood Smear Exam: Red and white cells normal. Platelets are clumped and within normal limits. Other test results: C-Reactive Protein (CRP) was < 8 mg/L, which is within the normal range of 0 - 10 mg/L.Test NameValueReference RangeTest NameValueReference RangeRCC x 10^12/L7.46 x 10^12/L7.26 - 11.51WC Count x 10^9/L12.2 x 10^9/L4.3 - 14.4Hct L/L0.52 L/L0.30 - 0.46Neutr %60 %Hgb g/L179 g/L103 - 159Seg Neut x 10^9/L7.3 x 10^9/L2.1 - 9.1MCV fl69 fl37 - 49Band % %MCH pg24 pg13 - 17Band Neu x 10^9/L0 x 10^9/L0 - 0.1MCHC g/L348 g/L321 - 368Lymph %23 %Platelet x 10^9/L* x 10^9/L300 - 800Lymph x 10^9/L2.8 x 10^9/L1.0 - 6.9retic %0.69 %0.1 - 0.8Mono %4 %Retic x 10^12/L0.05 x 10^12/L0.01 - 0.06Monocyte x 10^9/L0.5 x 10^9/L0.1 - 0.46ret-He pg25.5 pg14.1 - 19.8Eosin %14 %nRBC %0.0 %Eosin x 10^9/L1.7 x 10^9/L0.1 - 1.7Baso %0 %Basophil x 10^9/L0.0 x 10^9/L0 - 0.1PT SecondsAPTT SecondsTest NameValueReference RangeTest NameValueReference RangeTot Prot g/L70 g/L61 - 83Urea mmol/L6.0 mmol/L5.8 - 11.5Alb g/L35 g/L28 - 40Creat umol/L77 umol/L69 - 160Glob g/L35 g/L29 - 50Tbili umol/L< 1 umol/L0 - 4Bicarb mmol/L20 mmol/L15 - 24ALT IU/L44 IU/L19 - 97Glucose mmol/L4.2 mmol/L3.8 - 7.4AST IU/L42 IU/L19 - 57Na mmol/L147 mmol/L148 - 157ALP IU/L37 IU/L11 - 46K mmol/L4.4 mmol/L3.7 - 5.5GammaGT IU/L0 - 5Cl mmol/L112 mmol/L112 - 122CK IU/L195.4 IU/L66 - 444An. gap mmol/L19 mmol/L15 - 26Chol mmol/L6.8 mmol/L2.6 - 7.5Ca mmol/L2.7 mmol/L2.15 - 2.64Trig mmol/L0.6 mmol/L0.1 - 1.4Phos mmol/L1.1 mmol/L1.00 - 2.05Other< 8 mg/LAmylase IU/L685 IU/LLipase IU/L14 IU/LTot T4 nmol/LNa:K33Abnormal Results (Last 1 reports)Test NameJan 28, 2026eosin_x_109l1.7 x 10^9/LAssessment: results normal, CRP normal.Possible joint/muscle painClient communication: DI sent SMS: Hi Ruby, Albert's results are looking good - no sign of active systemic inflammation. I recommend starting some anti-inflammatory medication and strict rest for 7 days. If there is minimal improvement or he worsens, please revisit and we can discuss further options. The medication is ready for pick up anytime. Warm regards, Dr Dilini @ nOahPlan: Meloxicam SID PO 7-10d.