C10024539 / invoice 10000

Appointment Notes: Check ears & ear clean VC 3/3   ------- Sms reply: YHISTORYScratching @ ear (RIGHT) - ~2wk durationHas had some bilateral epiphora, not too badEDDU normal, no V+Medication: Frusemide & Cardisure Diet: kibble in microwave and mash themPHYSICAL EXAMINATIONMucous membranes pink and moist with 1sec CRTremaining teeth looking okayEyes clear and bright with no abnormal discharge; ears clean with no evidence of inflammation, discharge or odourNormal bilateral bronchovesicular lung soundsNo pain, mass or fluid wave on abdominal palpationOTOSCOPIC EXAMINATIONRight ear: upper canal clean with no evidence of inflammation or stenosis, lower canal has wax build-upCYTOLOGYRight ear: no evidence of infectionTREATMENTEar clean in consultDiscussed using cleaning for maintenance or on as-need basis    Vital Signs    Weight: 5.4;