C10017461 / invoice 10000

Reason: Possible UTI Returned - Kar Appointment Notes: O just wanted the same meds again, adv we would need to check the urine via a sterile sample to check for bacteria, crystal, stones ect. If reoccuring may even need to send off a sterile sample for C&S to rule out any bacteria that could be resisstance, O could only do this afternoon and was very reluccant, was wanting friday apt.Attendees:History:31st of January went to emergency and had antibiotic (10 days) and meloxicam Has been running outside more frequently and lots of little urinationsEating drinking defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert Responsive/Body condition score 7/10Examination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade 2Nasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – no discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HR 120Lungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negativeAbdomen – tense on palpationLimbs – all good range of movement, no swelling or pain on palpationNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  Nails – fineAnal glands – not performedTemperature – 38.5Genital region - no masses or swellingsUrinalysis:Free catchUSG: 1.032No obvious abnormalities on IDEXX urinalysisDiff quick: Debris ++ No WBcs or bacteria notedDiagnosis:1. PollakiuriaDDX: Crystalluria vs. Cystoliths vs. Bladder polyp/ mass vs. Early UTI vs. Renal dx vs. OtherTreatment:1. To monitor2. TO tentatively book in or FRIDAY for renal u/s and repeat UA (with cystocentesis)    Vital Signs    Weight: 7.7;       

Reason: SaSH. Ki--- 02/02/2026 08:23:15 KI:Left vm sent txtShe's doing okay. O noticed a little bit of blood in urine, went to sash is now on medication and done really well. Ki    Vital Signs    

Reason: Hurt R Leg/Nail IsAppointment Notes: says poss nail got caught on carpet said will monitor until seeing jrAttendees: NatalyHistory:Was jumping around with Lovey and yelped holding up up R hindHas been going really well had chiro and hydrotherapySeems a little better nowO has heard nails getting caughtEating drinking urinating defaecating normallyNo vomiting/retchingNo coughing, no exercise intolerance, no breathing difficultyNo lameness, stiffness or sorenessNo itching and scratchingBright Alert ResponsiveBody condition score 5/6Examination:Mucous membranes – pink moist crt <2sOral cavity – clear, no evidence of ulceration, tongue normal, hard palate fineTeeth – grade 2 rec S+PNasal planum – normal pigmentation and architecture, no crusting, no dischargeEyes – eyelid conformation normal, PLR normal, no chemosis,  no dischargeEars – no discharge, no erythema, pinna fineLymph nodes - normalHeart – normal regular rhythm no pulse deficits, no murmur HR112Lungs – clear sounds bilaterally, no crackles or wheeze, tracheal pinch negative RR pantingAbdomen – comfortable on palpation, bladder normal, no masses palpatedLimbs – right TWO plate fine, patella now tracking much better, left still slighyt thrust but ok, rest all good range of movement, no swelling or pain on palpation poss slight reaction on right hind digital pressure no luxation or nail bed swelling notedNeck and spine – no pain on palpationSkin – no sign of erythema, no alopecia,  Nails – clippedAnal glands – not scootingTemperature – not takenGenital region - no masses or swellingsDiagnosis:Digital injuryCruciate diseaseTreatment:Start on joint supplementationPlan: FUC days    Vital Signs    Weight: 7.7;