C09995615 / invoice 10000

Reason: ongoing urinary concerns Subjective: Urinary concerns seemed to have improved with antibiotics but this morning had big amount of urinary incontinence when she woke up. All of her back end was wet. Since consult last week she has perked up significantly, seems to have responded well to antibiotics Eating as normal, no changes in drinking. No further vomiting since last visit, no diarrhoea O placed libre this morning Current meds - toujeo 9IU BID, trilostane BID Behaviour/Temperament: Fearful / Anxious / Stressed / Relaxed / Confident / TimidFAS Score:Relevant Pre-Visit/EMR Information:Objective:HR/PR:Temp: 38.5MM:Pulse: Resp:Hydration: GIT:U/G:Ears/Skin:Eyes:M/S:Dental:Other: Assessment: Ongoing UTI ddx: poor diabetic/cushings control vs resistance vs other Options: 1. Send sample for C&S 2. Repeat antibiotic control, concern for resistance O elected option 2 Treatment: Nil in clinic Plan: Commence cephalexin 300mg BID - 8d Repeat urinalysis at conclusion of medications If ongoing bacteria present in urine or urinary signs we may need to consider C&S vs further workup for possible causes (poor diabetic/cushings control?) O to send libre results throughFollow Up Call: Required: In (x) days.Improvement: Plan...No Improvement: Revisit...ORNot Required.Reason: UrinalysisLaboratory: Colour:USG:Glucose:Bilirubin:Ketones:Blood:pH:Protein:Wet prep:Diff quik:Assessment: Plan:     Vital Signs    Weight: 11.3;