C10003575 / invoice 10000

Appointment Notes: ONLINE BOOKING - Bella (Dog) - Health Consultation [Veterinarian : Dr. Cameron Fay (Preferred Clinician)] - Possible early uti - Web BookingClient name: Tresna DeasContact number: 0434672316Email address: tresnasiobhan@gmail.comPatient name: Bella Original Appointment Type: Health Consultation?????Basic Summary:* Presented with signs of stranguria, pollakiuria, and haematuria since Thursday.* Owner-provided urine sample evaluated via in-clinic microscopy.* Urinalysis revealed bacteria and blood cells, consistent with a urinary tract infection.* Diagnosed with a urinary tract infection (UTI).* Prescribed a 10-day course of oral antibiotics.Subjective:- Clinical signs/progression: Onset Thursday. Squatting frequently with minimal urine production ("phantom wees"), pacing, circling, and tilting after urination attempts. Not appearing satisfied post-urination. Owner noted salmon-coloured urine (haematuria) this morning.- Significant past history: Ongoing ocular condition since December, previously on oral steroids. No previous history of UTIs.- Current medications: Steroid eye drops - one drop - every second day.- Appetite & diet: To be given medication with food.Objective:- Weight: 6.5 kg- Demeanour: BARExamination Findings:- Urinalysis (in-clinic microscopy): Bacteria and blood cells present. Positive for blood on reagent strip.Problem List:- Urinary Tract Infection (UTI)- Haematuria- Stranguria/PollakiuriaAssessment:A 6-year-old, female desexed, Toy Poodle presented for a three-day history of lower urinary tract signs. In-clinic analysis of a urine sample confirmed a urinary tract infection.Plan:Treatment Plan:- Oral antibiotics: 100 mg PO q12h with food for 10 days.Client Communications:Discussed diagnosis of UTI. Advised that clinical signs should resolve within 2-3 days. Instructed on correct antibiotic administration. Advised to monitor for potential gastrointestinal side effects (vomiting, soft stools). If signs do not resolve or recur within a month, further investigation including a bladder ultrasound and urine culture would be recommended to rule out underlying causes (e.g., uroliths, Cushing's disease, diabetes).Additional:- Prognosis for resolution of this UTI is excellent. No treatments were declined.?????    Vital Signs    Weight: 6.5;       MMColour: Pink;       RectalGenetalia: Normal (NAD on PE);       CRT: 1-2;       

Basic Summary:- Bella presented with recurring right eye irritation, including sensitivity to light, squinting, and watery discharge.- Tear test and fluorescein test ruled out dry eye and ulcers; anatomical abnormalities were not detected.- Maxidex eye drops prescribed to manage irritation and inflammation.- Referral to a veterinary ophthalmologist discussed as an option if symptoms persist.- Nail trimming performed during the visit.History:- Clinical signs/progression: Right eye sensitivity to light, occasional squinting, watery discharge, and irritation. Symptoms improved last month but worsened on Saturday. Eye sometimes open, sometimes closed. No green or pus-like discharge, only watery. Bella avoids water splashing near her eye.- Significant past history: Non-specific conjunctivitis previously. - Appetite & diet: Not discussed.Problem List:- Recurring right eye irritation (sensitivity to light, squinting, watery discharge).- History of conjunctivitis.- Localised issue in the right eye.Assessment:Bella's right eye irritation is likely due to ongoing, non-serious causes such as airborne irritants or allergic conjunctivitis, however it would be desirable to have specialist assessment if o amenable. Plan:Treatment Plan:- Maxidex eye drops: One drop in the affected eye twice daily.- Monitor condition response over the coming weeks.- Referral to a veterinary ophthalmologist if symptoms persist or worsen.?????    Vital Signs    Weight: 5.6;       HeadEyes: Abnormal (R eye mild blepharospasm and epiphoraSclera reasonbly unremarkable. Pupils evenly sized and PLR normal. STT 14mm/min (11mm/min in L eye). Fluoro -ve. Repeated exam under magnification negative for distichaiasis);       

Appointment Notes: eye issue  ------- Sms reply: Great!  ------- Sms reply: See you thenS:In to recheck R eye, goes to AMS Dee Why since moving from our areaSeen around Anzac dayWas squinty Gave antibiotic cream - seemed to irritate?No ulcer seen at the timeNot a lot of overflow, just sleepNo sneezing or coughing, has been normal otherwiseA:Suspect just lingering non specific conjunctivitis with a touch of uveitisDdx other causes of uveitisAdd in some atropine for mydriasis & chloroint for anti-inflammatory effectSee again as needed    Vital Signs    Weight: 5.2;       MMColour: Pink;       HeadEyes: Abnormal (R eye scleral injection +. Cornea clear, no sign of ulceration. Pupil slightly miotic.);       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       CRT: 1-2;