C10032411 / invoice 10000

Reason: Ear InfectionAppointment Notes: Special payment terms existHistory:Has been shaking his head over the last week- the L ear appears worse - noting a bad smell Finally has his skin under control - Had ceased apoquel - wanting to get back onto it EDDU normalExamination:HR -  120  RR - panting     CRT -  <2   mucous membranes - pinkExamine:- Oral cavity - NSF.- Dental Score - 0- Eyes/ skin - NSF.- Ears - Bilateral purulent discharge and moderate erythema, malodourous. Unable to complete otoscopic exam - very sore ears. - LNs - Peripheral LNs WNLs. - Thoracic auscultation - No audible murmur or arrhythmia, normal bronchovesicular sounds. - Abdominal palpation - Soft, comfortable, no palpable anomalies. - MSK - No lameness observed, complete MSK exam not performed. - Neuro - Appropriate mentation, no ataxia. Complete neuro exam not performed. - Genitourinary - Unilateral cryptorchid Cytology:L ear - cocci +++  rods ++R ear - cocci +++  rods ++Assessment:Bilateral OE (mixed infection)Cryptorchid Treatment:Discussed option1. Ear flush + cryptorchid Sx2. Trial topical therapy O elected option 2- Ear cleaned with otoflush in treatment- Prednisolone @ 0.5mg/kg BID for 5 days, then SID SID for 5 days, then 0.25mg/kg SID for 10 days- Aurizon 1ml SID for 10 days Plan:Recheck in 10-12 days- INI then complete option 1 (est made)    Vital Signs    Weight: 41.8;