C10023348 / invoice 10000

Reason: Vaccination KCEars are okay at the moment, not ithcing or scratching.  Has been using clear cleaning.  EDUF all normal. Parasite:  nexgard spectra monthly.  No concerns today.  Assessment:Healthy to vaccinate Ears: moderate dark cerumen,  mild erythema.  Cytology yeast +++ L, ++ yeast RPlan:Vaccination KCRecheck ears in 7 days, may benefit from flush.      Vital Signs    Weight: 10.2;       MMColour: Pink;       HeadEyes: Normal;       Ears: Abnormal (L ear has dark discharge covering canal.);       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Abnormal (difficult to palopate due to weight. );       Demeanour: BAR;       Hydration: Normal;       Gingivitis: 0;       Calculus: 0;       Observation: Normal;       HeartRate: 84;       RespirationRate: 20;       BodyScore: 7;       DentalGrade: 0;       CRT: 1-2;