C10008889 / invoice 10000

Reason: Urinary issuesAppointment Notes: Owner concerned, lots of constant weeing this morning. Recommended coming down so we can get him some stuff to collect urine and drop off for GP urinaylsis (Time booked in SM's column this arvo) but may want to see AEC anyway - ILMHistory: Lottie is a 4 year and 3 month old female spayed pug presenting for frequent urination.O reports that Lottie Fine energy ad temperament, started was holding on urine a bit yesterday during rain, still went at least twice EAD well, no V+/D+, not defecated yet today Seems uncomfortable, can't settle, pacing, wont' lie down Trial gabapentin and retry bloods Frequent/constant urinating this AM - since when? Full wee this AM Wet weather, hesitant to go out to toilet, passed full void this AM, then frequent squatting and passing drips blood tinged urineDrinking normallySudden onset EAD well, BAR otherwise Straining to urinateUncomfortableEPOC? Check kidney function $189Blood in urine? Straining?Otherwise well? EAD? V+/D+?Happened before? Recc UA - can do in-house, poss send home with ABs + pain relief (metacam?) methadone inj? Ideally cysto to check U/S for masses/stones We can do bloods + urinalysis today to see if any infection, stones/crystals, etc and check organ function (kidney esp.)Bladder/abdo palpDiet + appetite: eating and drinking well Urination/defecation: normal defecationPreventatives: UTD NGS Any issues: Examination: Demeanour: BARHeart: 112Resp: pantingBCS: 5/9MM: p+m, CRT <2Mouth: C1G1, normal occlusion, no cleft palate MSK: able to ambulate well, normal gaitNeuro: normal mentation, no obvious cranial nerve deficits or ataxiaEyes: clear, normal menace response and palpebral reflex, responds to visual cuesEars: no erythema or lesions, not painful or warm on palpationAbdo: no pain on palpationInteg: clearLaboratory: Assessment: Ddx urolithiasis/nephrolithiasis, pyelonephritis, neoplasia, UTI, other Treatment: NilConsent has been given by the client to proceed with this treatment -  YesPlan:O to monitor, revisit if concerned Amoxyclav BID 5 days, recheck UA at end of course (provided O with container, to drop in sample)    Vital Signs