C10011523 / invoice 10000

Reason: Puss And Bloody Discharge Appointment Notes: NM- undesexed, last heat was december, O unsure how long she ususally has between heats, couldn't give me any other symptoms she is concerned about.Dr Elise Kinsey N11075History:Happy, EUDF NAD at homeBright, no issues, just discharge notedUltrasound: bladder - thickened bladder wall, maybe some sediment. No sign of pyoPhysical exam:Eyes, ears, nose NADMOuth - cannot examien due to temperamentHeart and lungs clearAbdo palp comfy, NADInteugment clearMusculsoekeltal clearMammary glands enlarged, some milk present - O noted has had pseudopregnancies beforeBARDiscussion around pyo - not present but continue to monitorAdvised looks like bladder issue. Need to do full urinalysis and go from there.Urinalysis:LEU 3+NIT +vePro 1+GLU normKET -veUBG normNIL -veErythrocytes 4+Hb 4+USG 1.034Cytology:Bacteria: cocci and rods +++Neuts +++PLAN:Home on enroflox, amoxycalv and meloxicamRecheck in 2 weeks - ultrasound, urinalysis - o to bring in urine sample.Did advised INI, may require cysto and further testing    Vital Signs    Weight: 43;       Temperature: 39.1;