C10024653 / invoice 10000

Reason: Ear Issues TKAppointment Notes: Overdue remindersCONSULT NURSE: DFHISTORY: has hx of ear infections Any concerns: has sore ears hates them being touched. Said left is worse Current medications: gabaentin 300mg, Trazadone 300mg before today's visit Pet insurance: Diet:Appetite: goodDrinking: normalUrination/defaecation: normalParasite control:EXAMINE: muzzled as precaution Temperament:   BAR wiggly hard to hold,                Eyes:Ears: bilateral gunky discharge right is worse- swabs taken Oral Exam:Cardiovascular:Respiratory:Skin & Coat:MusculoSkeletal:Gastrointestinal:Abdomen:Genitalia:Lymph nodes:ASSESSMENT:DIFFERENTIAL DIAGNOSIS: LABORATORY: ear cytology today Results -Yeast ++ occasional cocci DIAGNOSIS: TREATMENT:Neptra applied to both ears CLIENT COMMUNICATION: recommended a spray to use weekly in the futurePLAN: nurse recall set for 7 days Review if needed    Vital Signs    Weight: 27.8;       MMColour: pink;