C10025637 / invoice 10000

Diagnosis: otitis resolved, ongoing perivulval dermatitis secondary to hypoplastic vulva, general chronic atopy, UTI signs resolved but no urine sample available today to recheck for backteria Subjective: Owner reports:mometomax - last adminsitered last nightPred finishedApoquel ongoing Isaderm + malaseb washing is ongoing Amoxyclav is finishedO has cephalexin at home (not finished)  Shaking - every now and then but not as often as beforeO has taken cone off this morning so thinks shaking because of thatEars look a lot betterMedications:Objective: A bit of crust around privates Remaining vitals normalRepeat ear cytology clear of infection Ears much less inflammed but still some lichenification around folds Assessment: otitis resolved, ongoing perivulval dermatitis secondary to hypoplastic vulva, general chronic atopy, UTI signs resolved but no urine sample available today to recheck for backteria Treatment:  Epi otic cleaner + Elocon lotion2X per weekO to start malaseb washing vuvla (O forgot that last time) Continue apoquel SIDGabapentin BIDIsaderm/malaseb paws as previousPlan:O to get urine sample, call with plan once that is obtained    Vital Signs    Weight: 16.6;       MMColour: p+m;       Temperature: 39.1;       HeartRate: 156;       BodyScore: 5/9;       DentalGrade: 1;       RespirationRate: 32;       CRT: <2;