C10030093 / invoice 10000

Reason: No ConcernsAppointment Notes: Special payment terms existHistory:No more ear irritationEDDU toileitng well, no v/d/s/cExamine:BAR, lovely, BCS 5/9Heart/ lungs/ abdo palp: nadEyes, nose: nadEars: slight erythema on L ear pinna- Swab both ears clearAssessment:Fit for vaccPlan:Vaccination: Pi2Vaccination: Bordetella Bronchiseptica (oral)    Vital Signs    

Reason: Recheck Ear Is Not Getting BetterAppointment Notes: req KLHistory:Maria and mum here with Molly (20 mins late to appointment so a bit rushed).Since last visit Molly has been scratching at her right ear more and it looks red and smellsHas always shaken her head since she was a puppy Lesion on neck has resolvedDoesn't go swimming although did get groomed earlier in the week Has been cleaning ears wtih Epi Otic SNS twice daily but hasn't improvedExamine:BAR, lovely nature but a little timidFull physical exam not performedEars: mod erythema and slight odour R ear, L ear okay Able to visualise TM in R ear, no FBs visualised Tests performed: Ear smear: L ear clear, R ear approx 3-5 yeast per HPF Assessment:Mild yeast OE R ear Plan:Cleaned ears in consultDermotic 0.4mls R ear BID x7dRV 7d--- 03/02/2026 11:47:31 FSK:Treatment - Resolved - O reports ear is still red but Molly itching much less; dermotic helping and O thinks she'll cancel revisit on 6th Feb; advised to cancel closer to appt in case ear does not resolve since only been a few days since treatment; confirmed vaccination is due 3/3 for kennel cough so O will make appt as gets closer to (and can recheck ears then if cancels recheck)--- 06/02/2026 18:27:39 TLI:O called after receiving text about missing appointment claiming she had cancelled it over the phone, reiterated the above notes but O is positive she decided to cancel. Apologised for miscommunication and failure to cancel the appointment. Advised coming in for revisit is preferential as we re-swab the ear. O not keen as wasnt major infection to begin with so decided not to book in another appointment.    Vital Signs    

Reason: Rash On BackHistory:Maria and mum here with Molly A week ago noticed black spot (thought was dirt or dried blood) on neck. Tried to clean it and just noticed black discharge on top, but no other discharge. Today tried to clean it again with baby wipes, then saw red spot and skin looked raisedNot bothered by it otherwise. EDDU normally Gets flea/worming chew from supermarket - given 2 months ago but is quite difficult to give as often spits them out. Examine:BAR, lovely nature, BCS 6/9Eyes ears nose nadPLNs normalMMs pink and moist CRT <2sOral: DG1-2 upper premolars and molars Chest ausc nad, nil murmursLung fields clearAbdo palp comfortableInteg: dorsal neck (just behind collar) small pinpoint raised dermal swelling, mildly erythemic. Comfortable to palpate, nothing able to be expressed MSK nad, good ROM joints Tests performed: Ear smear: no infectious organisms seenTape prep: epithelial cells, no yeast/cocci Assessment:Lesion on neck ddx insect bite, papule from allergy, inflammation, blocked hair follicle/cystPlan:Dilute betadine to neck lesion BID x7d Recc ear cleaning once a month Dispensed simparica trio, given both chew and cazitel in Os request10 mins later vomited up simparica trio in waiting room (along with treats), so given a new one (as well as bonus). Advised to wait until weekend before giving, cut in half and hide in cheese Insurance Claim Notes:Patient was seen today for: skin lesion, earArea affected: skin and right earOnset of current symptoms: last weekSuspected cause: bite, blocked hair follicle. No ear infection present Is this known to be pre-existing?: no Treatment dispensed: flea and worming treatment    Vital Signs    Weight: 10.3;