C10028834 / invoice 10000

13/03/2026 REASON: Recheck ears
Nurse: SP
Presented by: Michelle
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
Occasional ear flapping after Otoflush applied
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
Pred 5mg 1/2 tablet SID
Otoflush eod
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): {__}
BCS (1-9): {__}
DS (0-4): {__}

T: -
P: {__}
R: n

APPEARANCE/DEMEANOUR: BAR, muzzled size 1
SKIN & COAT: {__}
EARS: Mild debris R ear
Ear cytology R ear - 1 paired cocci over whole slide
L ear - 1 malassezia over whole slide
EYES: n
ORAL: -
MM: Pink, moist
CVS: Normal rhythm
RESP: Lungs clear
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n

n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
{__}

Ddxi:
{__}

Further Procedure & Diagnostic Needs [Client Response]:
{__}

Medication:
Pred 5mg (x)
Cytopoint inj (x)

Ongoing medication prescriptions? Renewed prescriptions: {__}
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
Rev 3 weeks recheck skin
Finalised by {__}
Rec = Recall     Rev = Revisit     Rem = Reminder