C10032033 / invoice 10000

Reason: EarsAppointment Notes: Overdue remindersConsent for use of Heidi was obtained.History:Coco presented for ear check due to bilateral ear issues ongoing for approximately 4 weeksOwner reports excessive black discharge from both ears that continues despite cleaning attemptsScratching at ears with head tilting to one side observedPrevious history of ear infectionsCurrent skin condition managed with Cytopoint injections every couple of monthsRecently received Cytopoint injection, not due todayDue for annual vaccination but deferred to next visitExamination:Mentation - BAREars, eyes, nose - bilateral ear infection confirmed with yeast overgrowth, brown discharge, bilateral stenosisCRT <2sMMs pink and moistLaboratory: yeast 4+ both earsAssessment:Bilateral otitis externa with yeast overgrowthLikely secondary to underlying skin conditionClient Communication:Discussed bilateral yeast infection in earsExplained connection between ear infection and existing skin condition causing yeast overgrowthOwner confirmed possession of Sonotix ear cleaner from previous visitTreatment plan explained including medication frequency and durationDiscussed need for recheck appointment with repeat cytology in 2 weeksOwner initially enquired about vaccine appointment at Norellin Vets on Friday but advised too early for recheckPlan:Ear drops twice daily for 2 weeks to both earsSonotix ear cleaner twice weekly while infected Recheck appointment booked for 28/03/2026 at 1:00pm for repeat ear cytologyAnnual vaccination to be administered at next visitMedication dispensed with syringes for accurate ear drop dosing    Vital Signs    Weight: 7;