C09976948 / invoice 10000

Reason: UTI / Follow UpAppointment Notes: Booked Online: 02/03/2026 07:06:24 AMBooking Type: UnwellBooking Notes: Follow up on utiOwner Name: Michael O'DonnellOwner Email: mlodonnell4@gmail.comOwner Mobile Number: 0450773024Pet Name: BonniePet Species: DogWeb BookingClient name: O'DonnellContact number: 0450773024Email address: mlodonnell4@gmail.comPatient name: BonnieReason: History: Been off AB for about a week was ok on meds but in the last few days been licking the vulva a lot  and had 2 urinary accidents in the house Examination: No erythema around vulva but is hyperpigmented, mildly lichenified and very hooded. No discharge presentIs overweight but has lost over 1 kg in the last 3 weeksLaboratory: Tape prep from vulva showed Malassezia yeast  ++++Short rods +++Paired cocci ++UA free catchClear pale yellowDipstick 5-10 eryth 0- trace protPh 7.0All else negUsg 1.013Sed- epithelial cells +++++Cocci++No crystals seenNo neutrophils seenAssessment: External bacterial/yeast around vulvaSigns of UTI recurringHooded vulvaOwner keen for vulvoplasty so will speak to Dr Suff about when can be doneIn meantime resume AB and start bathing around the vulva bid  to reduce bacterial load Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No 15mg/kg amoxyclav bid 10 daysMetacam 0.1mg/kg sid 7 days55 chlorhex solution to bathe around vulva bid Plan:History-Update:    Vital Signs    Weight: 32.1;