C10005154 / invoice 10000

Reason: Had First Heat Cycle On 3/1 But Still SwollenAppointment Notes: No discharge or smell.A still bit swollen 3rd dec was start of heat cycle About 7 days EDDU normally No v/dc/sBAR EENT; NSFOral: grade 0/4 dental dz LN's: submandibular WNL Cardiovascular: no murmur detected mm:pink +moist CRT<2s Lungs: nil crackles or wheezing Abdo palp: soft and nil pain or massesMSK: normal gait in consult full MSK exam not performed Skin:NSF 2 Hind dew claws present Urogenital: vulva swollen but no discharge Likely just still inflamed from heat cycleDiscussed signs to monitor for pyo no concerned about pyo at this stage    Vital Signs    Weight: 50.5;