C10004509 / invoice 10000

Reason: Wound Recheck With FGAppointment Notes: Special payment terms exist, Overdue remindersHistory: Brought n by DRHas been restricting exercise and placing tshirt on FrankieAlso licking vulva possibly more than usual.Is on stilboestrolAlso request to full in cruciate ligament waiver for bow wow insuranceClinical Signs: Focussed examVulva: tucked up, but ohterwise NAD on appearanceScabbed puncture wound R lateral thorax: mild amt purulent dischargeAmbulating outside clinic- no limping/lameness notedSit-stand in consult room- symmetrical, equal muscle mass LH and RHPalpation lumbar vertebrae NADPalpation LH and RH NADNo crepitus on joint palpation, no cranial drawer or tibial thrust noted on hind limb exam. Treatment: Chlorhex clean in consultAssessment: Wound healing but infectedPlan: Start antibiotics - discussion over scripted course, but short course probably no cheaper than chemist.Cruciate ligament waiver form completed for ownerUrinalysis:Performed by: JCSUrine Collected: Free catchLEU=negNIT=negpH=5PRO =1+GLU=1+KET=negUBG=normBIL=negERY=4+Hb=negUSG=1.038Urine Appearance: clear, pale straw colour. Sediment Appearance: tiny opaque dot, stained.Stained slide: small numbers of chaining cocci (some views have 0 cocci, some occasional egions have clumps of 10-30 cocci)Plan: Bacterial UTIClav BID (has already been put on this for skin issues so no need to change plan)--- 06/03/2026 13:38:37 FG:FG left VM on DR's mobileAdv bacterial UTI present- abs for skin are also appropriate for the UTI.Give abs as dispensed this morning.If DR phones back, please read out above info. Thanks FG. --- 06/03/2026 13:46:06 JCS: DR called back, relayed above msg, SR very thankful for all our care today. JCS.    Vital Signs    Weight: 39.5;