C09994991 / invoice 10000

Reason: Blood in urine - unsettled - Long Appt For NadinAppointment Notes: Requested o bring in urine sample is at all possibleHistory: V+ yeterday afternoon - undigested food sure vomit was himUnsettled overnight - getting up and readjustingWees overnight and this mroning blood in urine, before that wees outside so unsure Normal stream this morningHas 2 other dashys at home, one has vhronic uti and one is paralysed Had breakfast and ate Diet: hills science dental + frozen blueberries Examination: 180-200 HR no murmurs or arrythmias grade 1-2 murmurMm pale pink tacky, CRT <2sSkin tent ~3sT 37.8Verified: NoReason: Blood in urine and V+History:V+ last night - food content, no foamBlood in urine noted overnightNormal urination strain, no discomfort while urinatingLethargic since last night, not himselfHad breakfast and drink today, kept downLives with paralyzed dog with chronic UTISometimes catches lizards in backyardFed Hills Science Diet and frozen blueberriesExamination:BAR in consultMMs: pink & moist, CRT < 2secEars: No odour or significant dischargeCardio: no murmur or arrythmiaResp: Lung sounds clear, normal respiratory effortT: normalAbdo: comfortable on palpation, no palpable massesIntegument: NADLNs: normalSlightly dehydratedLaboratory:Blood sample collectedUrine sample unable to be collected in clinicAssessment:HaematuriaV+ - possibly unrelatedRule out UTI, crystals, neoplasiaPlan:Blood tests submittedOwner to collect urine sample at home for UAUrine sample cup providedConversation with owner:Blood and urine testing recommended and acceptedCost discussed - $340 total for consult, bloods and urineUTI less common in male dogs, crystals possible causeV+ likely unrelated, possibly from eating something in yardREX pending blood and urine results    Vital Signs    Weight: 4.68;       

Reason: Vaccines Appointment Notes: Logan (Dog) - alfiesprout@hotmail.com +61434392764 Suzane And Allison Baker And Trethewy Vaccination - Booster - Vaccines/yearly health check -  Web BookingClient name: Suzane And Allison Baker And TrethewyContact number: 61434392764Email address: alfiesprout@hotmail.comPatient name: LoganHistory:No health concerns since visit to sash last year (stopped walking suddenly, crate rest 2-3 weeks, anti-inflammatories, no imaging couldn't localise, no issues since)Also said they increased grade of HM to grade 2 at SASH visitUTD Nexgard spectra month & paraguard every 3 months No mobility issuesLast year had dental, can't do any preventatives - tried water additive but didn't like itDiet: hills science diet oral care dry EDUF no V+ no D+Has always had choking episodes after drinking water since the beginnging (reverse sneezing?)No itchinessYoungest of the 3Declined senior blood monitoring today, Had bloods for dental in septmeber all wnlExamination:BAR, scared but good boy takes treats!Wt 4.7kg BCS 4/9HR120 approx regular shaking, low grade left sided murmur 1-2RR wl no effort, clear lungsEyes, ears, nose clearTeeth plaque building up on upper canines & some of the back teethMSK nadAbdo nadAssessment:Fit to vaccinatePDD grade 2Plan: C3 vacc SC back of shoulders/neck (batch 2428304 Expiry 09-2026) - next due 2028Infectious Bronchitis bbpi vacc SC back of right shoulder neck (Batch 2503810 Expiry 10-2026) - next due 07/04/2026Continue nexgard spectra & paraguardRegular dentals required (next 6-12 months), recommended plaque-off for maintenance    Vital Signs    Weight: 4.7;       

--- 04/11/2024 10:38:38 OB:Clinical summary attached--- 04/11/2024 10:42:38 NP seen at SASH for thoracolumbar back painDischarged with meloxicam - had no workupAdded to follow ups for tomorrow--- 05/11/2024 11:51:54 AM GHR: THCalled for follow ups, no answer, unable to LM--- 05/11/2024 11:58:48 AM GHR: THStill on crate rest, still wobbly on back legs, bit bloated still, possibly improving, EDDU normally, SASH suggested crate rest for a week, back legs are shaking, owner will wait and see how he improves over the next 24-48 hours and will bring him back to us if needed    Vital Signs