C10031175 / invoice 10000

Reason: Ear RevisitAppointment Notes: nre  ------- Sms reply: YReason: History: Seen recently for bilateral OE - treated with osurnia (t doses). Still seeing some head rubbingDUDE normal No V/DHave noticed change in pigment of D2 nail s on left and right fores. Examination: Ears - very clean, no erythema, no stenosis, very minimal materail on swabsEyes -NADSkin/Coat -=NAdNails -bilateral pigment change of nails, pother nails normal.D2 (both feet) stable, no over grooming, no erythema, no pain responseLaboratory: Cyto: yeast buds <1+ bilateralAssessment: OETreatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:PMP 0.4 ml bid 7 daysHistory-Update:    Vital Signs    Weight: 7.7;