C09988429 / invoice 10000

Reason: Retest Urine And Bloods; VaccAppointment Notes: cl***here all dayClient Concern: History: Suspect event last visit > nothing obvious on bloods or urine. HOWEVER did have a sore prox penile palpation and was growling when urinating, so could have been pain there for at this stage unknown reason.SS also picked up some muscular tense inner thigh, released. CL reports going well at home following meloxicam. > no straining to urinate / voclasiation> EDDU normal> comfortable and normal demeanour LAST DOSE OF MELOXICAM OVER A WEEK AGO.  Repeated urea and crea today > not urea slightly high at last check. USG has been persistently on the low side with one test showing concentrating ability of 1.036 >> GOOD. Being cautious, just checking for changes. Also needs vaccs.Due C7 (intranasal) > CL has records at home, does not need booster Lepto. Physical Examination: Seems bright, wagging tail."talk" growls through most of the examination but suspect normal for him, not reacting anywhere repeatedly or focally. CRT1sec, MM pink and moist, chest auscult normal, abdo palp relaxed.Comfortable prepuce palpation. Testicles normal. BAR. T: 38.3 Superficial LNs normal. Laboratory: 1.022Dipstick negative. Treatment: KC intranasalC3 SC Lepto SC Plan: Monitor.    Vital Signs    Weight: 33.2;