C10023390 / invoice 10000

Appointment Reason: Recheck, Appointment Notes: recheck..apRescheduled to Thursday due to emergency at home...OMO has noticed she has been shaking her head in past 24hrs. Not licking anywhere else. L.ear Malassezia 10/HPF, waxy brown dischargeR.ear Malassezia 3+/HPF, waxy brown discharge. Now L.ear is infected, R.ear also has remaining Malassezia left. Squealed on otoscopic exam of both ears, both look sore and inflammed, TM not visualised bilterally. P: Recc to now use otoflush daily before cleaning ears. Continue dermotic now in BOTH ears for 2wks. Prednisolone (1mg/kg) 20mg 1/2 tablet bid for 15d.RV in 2wks - if ok, suggest long-term elocon for maintenance.     Vital Signs    Weight: 38.6;