C10006476 / invoice 10000

Reason: Recheck CastAppointment Notes: Overdue reminders  ------- Sms reply: YesVerified: NoHistory:Presenting for: Stella presented for recheck following treatment for suspected UTI one week ago, with urine sample for analysis.Historical Conditions: UTI treated with antibiotics and anti-inflammatory medication on 28th. Received Leptospirosis booster vaccination on same day.Drinking/Urination: Previously urinating frequently on walks with minimal output, not quite herself. Signs resolved after 2nd day of treatment - less frequent urination, back to normal behaviour.Current Meds: Recently completed course of antibiotics and anti-inflammatory for UTI.Examination:Mentation: BARBehavioural: Excited, panting when excited, friendly and social, accepts treats readilyAbdominal: No pain response on palpationDiagnostics: Urinalysis - voided sample showed some bacteria present but no WBCs noted. Manual microscopic examination confirmed absence of white blood cells. Bacteria considered contaminants from external sources rather than bladder infection given voided collection method and absence of clinical signs.Assessment:Resolved UTI - No evidence of active urinary tract infection based on urinalysis findings and resolution of clinical signsPlan:Additional Discussion:- Urinalysis not charged today due to senior dog program (free urinalysis for dogs over 7 years)- Antibiotics confirmed safe to discontinue- Leptospirosis vaccine (inactivated) not affected by concurrent antibiotic therapy- If signs recur (straining, frequent urination, haematuria), cystocentesis sample required for culture to avoid external contamination- Provided additional specimen container for future urine collection if neededClient Comms:- Monitor for return of urinary signs (frequent urination, straining, blood in urine)- Call clinic if any concerns arise- No further antibiotics needed at this time    Vital Signs