C10014899 / invoice 10000

Reason: HaematuriaAppointment Notes: Overdue remindersCurrent meds: florinef + delta cortefLast bloods done about 1mo ago and electrolyte levels were normal However liver enzymes were elevated (apparently results have been sent through from other vet - ck emails) Started on hills liver diet since thenTodays concern: for the past couple of days she has been passing a bit of blood in her urine. The first time they noticed it it was much more obvious, seems to have improved a bit since then. Is straining to urinate a little bit.Defectation is normal, no v/d. No change in appetite. No known access to toxins / poisonsExamine BAR Chest ausc WNL Abdo palp comfortable T 38.7 Bit stiff in elbows Admitting for cysto and u/s Very sludgy urine Confirmed rods on sediview Sending home on amoxyclav, 3 week course, cant send home on loxicom as on delta cortef daily dt to recent liver elevations on bloods not going to do panadol either Told to monitor for pain, if Os think sore over the next days - week RV for repeat bloods and may have to trial temi instead O a bit cost constrained so bloods not done todayRecc repeating sediview at the end of the abx course    Vital Signs    Weight: 29;       

Reason: Deltra Cortef TabletsAppointment Notes: Overdue reminders130.00 x Delta Cortef Tablets 5mgPlease give 1 tablet twice daily.Due for bloods    Vital Signs    

Reason: Lame And Skin Issues Still Caught In TrafficDoing well for her conditions, BAR, EDDU fine. Weight gain. Noticed lamenss on LFL since New year's day, was doing zoomies like a pup..It's getting better with days, but just want to check. Also has hair loss. Not itchy though.2/5 lameness on LFLLFL lameness, Elbow and shoulder ROM both limited, crepitus in elbows.Elbow OA was mentioned in consult 5 years ago, might be elbow dysplasia?Suspect to be OA, but cannot rule out other ddx.Addisonian, on steroids, so didn't do NSAIDsDiscussed CBD oil, 4 cyte, synovan injections etc.Gabapentin also another option O will considerDue for bloods, but at HSVC, O has 2 young boys here as well.O is quite good with compliance, and said she will re-organise app in near future and therefore new script it given.    Vital Signs    Weight: 27.8;