C10008528 / invoice 10000

Reason: MedicationAppointment Notes: Booked Online: 04/03/2026 08:54:09 AMBooking Type: Health CheckBooking Notes: Delilah's medication for her incontinence issue doesn't seem to be working anymore  ------- Sms reply: YReason: Incontinent History:EDUF fineV+D+/ Coughing: noneHas been urinary incontinent for the last 3-4 weeks. Noticed accidents in bed.Has been on propalin for awhile now and has been maanging it well O changed diet to home cooked  kangaroo 1.5 months ago Current Medications:Propalin (O says she has been giving 0.05mL?)Exam:Mentation - barBCS - 5/9MM -   PM          CRT - 1-2HR -  90              RR - WNL Oral - s1Temperature - dneGastrointestinal - nadIntegumentary - nadMusculoskeletal  -nadAdditional findings - vulva WNL Problem List/ Assessment:Urinary incontinent - due to inappropriate dosing? (O says have been giving 0.05mL?) VS otherTreatment: nonePlan:O to send photo of syringe with amount she is givingCan icnrease up to 0.75mL PO BID (frankie has gained weight recently)O to drop off urine sample, to rule out UTIsIf incontinence ongoing, advised next step would be bloods, imaging +/- add in sitlboestrol    Vital Signs    Weight: 30.9;