C10013835 / invoice 10000

Coco has been having episodes of urinary incontinence at home, but only in the day.O has noticed she has been drinking more water as well, but also only in the day.Has previously had suspicions of USMI secondary to early spey.Otherwise well, no other concerns.Urinalysis:USG 1.018pH 8rest of urinalysis wnl.Cytology: cocci ++Assessment:Mild UTIAdvised USMI may predispose to UTI and usually does have a higher USG.Advised not convinced UTI is primary issue. Recommend treating UTI for now but reassess after course of ABs are complete.Treatment:Clav 500mg PO BIDPlan:Recheck in 3 days after last dose of AB.    Vital Signs    Weight: 26.6;       MMColour: Pink;       HeartRate: 120;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Normal;       Demeanour: BAR;       Hydration: Normal;       Gingivitis: 1;       Calculus: 2;       Observation: Normal;       BodyScore: 5;       DentalGrade: 2;       CRT: 1-2;       

Appointment Reason: Clip nailsNurse: KWTaken through to treatment roomAll nails trimmed just the tips, has quite long quicks.Lovely girl    Vital Signs    Weight: 20.9;