C09974013 / invoice 10000

Reason: Urinating Blood, Otherwise BarAppointment Notes: Overdue remindersHistory: Entire femaleVaginal dIscharge for 1 week and won't stop pantingO's recently moved house Last heat was in December Urinating blood since January - sometimes passing blood clots No changes to appetite and energy levels UTD with vax and parasite control No calming medication Single pet household Examination: Aggressive and lunging. Limited PEO fitted brachycephalic muzzleTried to examine vulva, Daisy started panting heavily through muzzle and became increasingly distressed. Examination discontinued to avoid respiratory distress. Laboratory: UrinalysisUSG greater than 1.050Leu 2+NIT positivePH 8PRO 3+Glu NormKet NegUBG NormBIL negERY/HB 4+Assessment: Haematuric, proteinuric, pyuricWet prep: mild amount of struvite crystalsDry prep: cocci and rods ++++. RBC, WBCDaisy, an entire female bulldog, presented with a history of haematuria and vulval discharge. Examination was limited due to stress, a common issue in brachycephalic breeds. The main differential diagnoses included urinary tract infection and pyometra. Given that she is eating and drinking well, an acute, life-threatening pyometra is less likely. Urinalysis results are consistent with a urinary tract infection. While a uterine infection cannot be completely ruled out without further imaging, the current findings strongly support a diagnosis of a urinary tract infection.Treatment: Consent has been given by the client to proceed with this treatment  -  YesPlan:Home with amoxyclav 20mg/kg PO BID x10d then recheckMust be on calming medication for all visitsBring back sooner INI or worsening. Tentatively booked Thursday PM consult. O knows Daisy should be on calming medication.    Vital Signs    Weight: 31.3;       

Reason: LS Pls Bill Up 16mg Apoquel Bottle For Punchie :)Appointment Notes: Overdue remindersHistory: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    

error. Trying to bill under PB    Vital Signs