C10026130 / invoice 10000

Ears

History: usually sees MR vet. Was seen for severe ear infection ~2w ago. "bad infection", o thinks the vet said rods were involved. Got ear meds in unlabelled bottle as well as gentle ear cleaner. Ear has improved but o unsure if fully good. Does not tend to get ear problems. Otherwise coping well, EDUF normal and stable mobility on meloxicam (?) and gabapentin. Rosehip supplement made big difference. 

CLINICAL EXAM: 
Left ear: wnl, mild discharge in canal, no erythema/swelling, TM appears intact.
Right ear: Pinna greasy from ear meds. Scoped mild erythema, no swelling in canal. Meds covering TM mixed with mild brown discharge.

TREATMENT:
Chatted about options for otitis. Too early for cytology today as meds all over ear canal. Recommended to continue meds as per MR vet, and book recheck a few days after finishing tx either with us or MR vet.
Hx from MR vet:
- unilateral rods+++++++ OE
- dex/enro BID x10d (would finish tomorrow) after gentle ear cleaner
- recheck after finished tx

Cleaned both ears with epiotic SIS. O happy with plan. 

C/C 5-7d.

st Harry-he reports she is still doing a bit of "swallowing" gagging but is better than yesterday. She has eaten and not had any vomiting, hasn't seen faeces today. Will monitor and get back to us if concerned

acute onset of lip licking/drooling this morning. drinking a lot of water and eating a lot of grass. no V+ so far. has had episodic diarrhoea in the past 1 yr. had D+ 2-3 days ago. had a small bowel motion this morning and maybe was straining a bit. not on any meds. o put the dog on a kangaroo diet to help the dog to lose weight so now she has lost a bit weight. 

still keen on eating treats. BAR. CRT 1 sec. pink moist mm. dental grade 1-2. all superficial LN wnl. abd not uncomfortable and not distended with no mass. HR90. clear chest sound. BT 38.3. rectal- well formed loose stool. skin tent wnl. R eye is a bit red with yellow discharge and blapherospasm. pupils wnl. 

1. nausea
some sort of gastritis but not too bad because the dog hasn't had any V+ and still eating. advised syptomatic treatment with prevomax and a bland diet. dog is older so i will get one of the vets to cc tmr. recheck if getting worse. 

2. R eye conjunctivitis
has been going to the beach so o feels most likely sand getting into the eye. o happy to treat it symptomatically with chlrosig