C10007361 / invoice 10000

Clinical Notes:history:
o concerned has uti, has had one in past
Licking vulva allot since last week
quite flat , hiding more
not eating as much/reduced appetite
last heat in january - 6-8w ago - normally gets every 9mo
no change in urinary frequency
ENTIRE FEMALE, hashad litters in past

examination:
still fairly bright but o says quieter than normal self
gums pink
bcs 3.75/5
mature nipples
no visable vaginal discharge but has been cleaning self
hr 128, no audible murmur
chest clear
abdo palp , poss v s thickened uterus, no obvious discomfort/large structure
t 38.1

unable to catch urine - too nervous

gave o pot to take home

ddX: early/open pyo vs uti vs other systemic dz

rec drop in urine sample to rule out uti + desex + pabs - estimate made

advised can do further dx first inc u/s and bloods but if open/early can be difficult to diagnose on imaging

o took urine pot, advised can desex today if fasted, otherwise, wed-fri availability currently this week

if more unwell/discharge commenced may start on ab's /rec bloods prior