C10030105 / invoice 10000

Reason: Ear infection Appointment Notes: Jolly (Dog) - alice walker - +61415952075 - Consultation Skin or Ear Issues (extended time) [Clinician : Dr. James Rawson (Preferred Clinician)] - Ear infection  - Returning clientWeb BookingClient name: alice walkerContact number: 61415952075Email address: walkwithalice@gmail.comPatient name: JollyHistory: Dropped off with mometasone then restarted when ears appeared irritated.Physical Exam: BAR. Much better outside. Worried in waitingroom and consult room Yeasts +++ on swabMild discharge in vertical canal+++ discharge in horizontal canal - unable to see TM Pinnae appear unremarkableAssessment: Chronic yeast infection in ears (level of deep discharge and mild stenosis suggests it's been a problem deep in the ear for a while)Plan: Dermotic + otoflush q3dRecheck at end of course    Vital Signs    

Reason: Ate 2 Hot Cross Buns Just BeforeAppointment Notes: eb will come up right away to induce vomitingSubjective and history: Ate 2 hot cross buns and came straight downApomorphine tablet R conjunctival sac>> large vomits with lots of buns and raisins, chicken alsoDisucssed O risk of AKIDiscussed IVFTaking home, offered blood test in 24 and 48 hours.    Vital Signs    

Reason: AHC + VaccsAppointment Notes: Jolly (Dog) - alice walker - +61415952075 - Annual Health Check & Vaccination [Clinician : Dr. Alex Smeliansli(No Preference)] - Annual vax and blister on lip, purchase Elocon for ears  - Returning clientWeb BookingClient name: alice walkerContact number: 61415952075Email address: walkwithalice@gmail.comPatient name: JollyReason:Subjective and History: Routine vaccination. Doing well, no health problems reported. Bright, alert and responsive. Eating, drinking, defaecating and urinating normally.On nexgard spectraUse elocon for ears q2wPhysical Exam: BARVitals WNLsNAD cardiopulmonary auscNAD abdo palpLNs normalEENT noprmalBCS 5/9Dental 1-2/4 - mild calcAssessment: HealthyFine to proceed with vaccinationTreatment: C3 + KC SCLepto 2 SC    Vital Signs