C10024426 / invoice 10000

Appointment Reason: Infection / Ear, Appointment Notes: Paws App Details:Booking Type: Consultation ExtendedBooking Vet: - Any -Booking Notes: Ear Infection   ------- Sms reply: YesHx:O has finished fluconazole and ear meds. O thinks he is still scratching as much as before, but not sure if it is just a normal amount.Exam:BAREENT - ears look lovely and clear today, no discharge even on swabbing.Feet are markedly improved, slightly pink but no sig inflammation, no moisture or brown discolouration.H&L WNLOverweight but has lost 500grams - could lose a couple of kgs.Plan:Trial apoquel for 2 weeks, monitor for improvement. I am quite confident there is not secondary infection at present.I have also discussed again doing a food trial once O have finished their current bag of food - emphasised that it will be much cheaper to control a food allergy than atopy.    Vital Signs    Weight: 14.7;