C10025852 / invoice 10000

Appointment Notes: Left ear presenting sore and red, tiny bit of discharge. Badger irritated and scratching at earHistory:O thinks sore ear; esp L. Scratching for a few days. Some vocalising when scratching Wiped on outside pinna this morning; saw some blood, some discharge, he was sore Given carprieve tablet, that's helped a bit Lump under chest- quite big Forearms better, not quite 100%Does try to lickApplies neocort EOD with cone. Has restarted medicated shampoo; did whole body Examination:BARBCS 7/9Ears; externally pinna NAD. On swabbing R ear brown waxy discharge, L ear moist brown discharge +++ AND vocalising/painful. Mass on left flank, 3cm oval shaped mobile, non painful in SQ. Cytology: Bilaterally ears yeast; L 5/5, R 3/5Cytology of FNA on left flank; fatAssessment:Bilateral otitis externaBenign lipoma left flankTreatment:Ears cleaned with otoflush and examined with camera otoscope; no FBInstilled 1ml poloxamer EKT bilaterallyRecheck 7 days for ears???    Vital Signs    Weight: 10;