C10027366 / invoice 10000

Reason: Sore EarsAppointment Notes: VETSTORIA  Lana Mackay (0475875607 lana.mackay23@gmail.com) with Darryl (Dog) - Consult (Sore ears) - [Veterinarian : Dr.Serena Hawes(No Preference)] -  Web BookingClient name: Lana MackayContact number: 0475875607Email address: lana.mackay23@gmail.comPatient name: DarrylHistory: Diet:Vacc UTD? Ears bad 3 timesObjective:Demeanour: BAR- mild arousal but lovely dogHydration: normalC/V: no audible murmurs/arrhythmiasResp: lung auscultation nadGIT: comfortable abdo palpationU/G: nadSkin/Ears: Bilateral brown dsicharge and redness to earsCytology yesat ++++ - L worse then REyes: nadL/N: nadM/S: mobility seems ok Sl tense with me manipulating RFL but no obvious cuase  of pain as suchSaliva staining to lateral right elbow Dental: teeth goodAssessment:Options:Discussion with owner:Concern re frequency of ear infections and discussed options for preventionO happy to start pred lanolin compounded ear meds once infection resolvedTreatment:Neptra 1 tube per earMarcolone 20 mg 1 SId for 5 days then 1 EODBOVA pred 0.5% lanoolin 30% to use once infection resolved 0.5 ml to bothears for two consecutive days per weekPlan: F/C inRevisit in    Vital Signs    Weight: 37.1;