C09986705 / invoice 10000

Reason: ?uti Will Get Sample If Poss, Couple Of Lums TooAppointment Notes: urine cloudyReason:Hasn't been himself last couple of weeks, panting. Sleeping on cold concrete, also noticed crusts on penis. Milky discharge when urinated. No straining to urinate, appetite normal. No vomiting/diarrhoea. Waking up in the middle of the night to go to toilet. Stools normal . Lump area behind R ear, L leg lat tibia - both approx 3mm diamExamine:-BAR - Oral cavity - NSF.- Dental Score - 2- Ears/ eyes/ skin - NSF.- 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 - yellowish discharge - cytol 3+ neuts, 4+ cocci Urinalysis attached - occasional cocci on manual sedimentAssessment:BalanoposthitisTreatment:Disp abs Plan:Marianne going into sx in <2 weeks. Book in for sed/flush prepuce for 10 days in case no resolution    Vital Signs    Weight: 36;       Temperature: 38.8;       HeartRate: 144;