C09981980 / invoice 10000

Appointment Notes: recheck AGs Subjective: Doing well at home, start licking on his bottom again after antibiotics finished yesterday. No itchiness, scooting, licking noticed while on AB course. Also did not notice any purulent content from AG at homeEDDU all normal, no V+ or D+UTD parasite prevention BAR, nervous, wriggly and vocal for AGEObjective: HR/PR/CV: 120bpm, normokinetic, no murmur or arrythmia on auscultationMM/CRT/Hydration: PM, skin tent <1sRESP/RR: normal breathing effort, clear lung fieldTemp: 38.6GIT/UG: comfortable at palpationAG: 3/3 full with purulent content on expression bilaterally, no blood on gloves Skin/Ears: ear nad, healthy coat M/S: ambulating well in consult Eyes: bright and clear Dental: N/ELymph Nodes: submandibular wnlBCS: 4/9Assessment: ongoing Bilateral AG infectionDiscussion:O is confused about why culture is not offered as one of the options in the last visit. Explained to O that she did not come in for recheck in Jan 2026 during Harry's first AG infection. So unsure when he represented if infection had initially cleared or was going so trialled the same ABsOffered few options and explained the benefits of each to O:1. AG flush + culture 2. AG flush 3. Culture today and TGH anti-inflammatories4. Clindamycin - O elected this Treatment: Clindamycin 150mg PO BID until finishedCarprofen 30mg PO BIDPlan: f/u in 3 days R/C in a week, rec'd AG flush +/- culture (est $854 - $1078) or only culture (est$225) INI____________________________INSURANCE HXInitial Assessment > AG abscessSuspected cause >  AG infectionDate of first clinical signs > ongoingAny other conditions / treatments > nil    Vital Signs    Weight: 24.5 (Patient Update);