C10028389 / invoice 10000

Appointment Reason: Recheck Ears, History:- Recheck for ear medication efficacy, 2 weeks post-treatment- Mild head shaking, improved from before- Seasonal pattern noted, approximately once yearlyPhysical Exam Findings:- Behaviour: Anxious during examination but ok to examineEars:- Cytology: Substantially improved, occasional yeast organisms on right and  left - Approximately 95-99% improved from previous- Less inflamed, not as redAssessment:- Problem list:1. Otitis externa - substantial improvement with residual yeast infectionPlan:- One additional dose of ear drops administered today- No follow-up required unless symptoms flare- Monitor for recurrence; if flares more frequently, may consider maintenance therapy for underlying allergy componentCommunications:- Discussed allergy as primary cause with secondary infection- Not at stage requiring ongoing maintenance medication given seasonal pattern- Advised to return if symptoms recur    Vital Signs    Weight: 43.6;