C09986849 / invoice 10000

Appointment Notes: blood in urine. BC. Will try to bring in a sample.History:On homecooked mince, pumpkin, rosemary, sweet potato, rice and kibbleEating and drinking fineO noticed red coloured urine on MondayNot straining to urinateUrinated inside tooNo other concernsNo V/D+Still bright Examine:BAR, sweet girl, very excited  BCS 9/9Laboratory:Urinalysis:USG 1.026PH 8PRO 3+HB 4+Cytology: rods +++++++, struvite crystals +++Assessment: UTIPlan:Commence Amoxyclav and Acidurin BID until finishedRecommended Hills c/d multicare to reduce the risk of struvite formation in the futureDrop of urine sample after finishing course of Amoxyclav to ensure infection has resolvedCall if any questions or concerns    Vital Signs    Weight: 39;       

Appointment Notes: BC.Prersented for annual health check/vac. EDUD normally at home, UTD with worming, some anxiety when going to the dog park and a walk around the block, very hesitant to leave the house. O has requested meloxicam in case of any pain/injuries in future. PE:  - Eyes: wnl  - ears: wnl  - Oral: wnl  - LN: wnl  - cardioresp: HR = 144 (nervous), no murmur/arrythmia detected, RR = panting, lung sounds normal  - Abdo: wnl  - coat/derm: wnl  - MSK/Neuro: wnl  - BCS: 3.25/5  - Temp: 38.4ASSESSMENT:  - Healthy to vaccinate  - Situational anxiety Tx:  - C5 Nobivac SC B/W shoulders PLAN:  - Gabapentin trial 90-120 minutes before walkign outside, to see if this increases confidence. Also discussed using a behaviourist such as Emily/Dylan    Vital Signs    Weight: 40;       

Reason: Sutures OutAppointment Notes: skjSr all ok Spey site possible seroma Fna some serum but more reactionWatch thisSr alll ok Muscle integrity feels intactReturn asap if worsens    Vital Signs