C10031679 / invoice 10000

Reason: Ear Infection Appointment Notes: Overdue remindersS:Last night scratching at L ear and whining.  O asking re: mites as other dog was behaving similarly at the start of this week, Dianne's own dog was scratching at ears prev tooUTD prevs, but Glen give so unsure what. O:BAR. Lovely dog.EEN: Both ears significant erythema.  Moderate brown discharge, L ear >R ear.  Whining on otoscopy, so did not push to try to see TM- too sore.Cytology: no mites seen L ear:  TNTC yeastR ear:TNTC yeastA:Heavy yeast infection bilaterally. Cannot r/o FB. Mites unlikelyP:O to check prevs anyway as most cover against mites. Discussed risk of using dermotic if TM ruptured, but no signs of this todayDermotic 1ml each ear BID 7d, then revisit, hopefully can scope ears at this time.    Vital Signs    Weight: 37;