C10029159 / invoice 10000

Appointment Notes: cytopoint, earssdcHistory:Licks feet and prepuce- does work a bit but ears also bothering himExamination:BARL ear inner pinna towards ear canal is erythematous and there is a moderate amount of dark brown debris on swabSome erythema down ear canal also, no stenosis, TM is intactR ear no redness and swab clean, good on scopePaws and interdigital skin seem ok currently, maybe slightly pinker back paws near main paw padLaboratory:R ear NADL ear malasezzia + Assessment:Unilateral OELicking- pruritis - normally responds well to cytopointPlan:30mg cytopoint SCDiscussed L ear infection- suspect have caught it earlyWill go on to dermotic BID over next 7-10 days, recheck 10-14 days, sooner if any concerns    Vital Signs    Weight: 16;