C10017552 / invoice 10000

Nurse:Any concerns the owner has / presenting problem and duration: Ring of blood tinged smelly liquid  where anus is when getting up from sitting down. Occurring for the last couple of days. No blood in stool, no active bleeding visible.History: Previous hot spot/bacterial skin infection - resolved. Skin tags present for approximately 3 years - not bothering.Previously presented for similar issue: NoDiet:Parasite control: Simparica TrioVacc history:Current medications:Vomiting / diarrhoea:Defecation: No straining, no difficultyUrination:Eating/drinking: NormalExam:Mentation BAREyes - clear, cornea all appears WNL, no tear stainingEars - clearNose - clear, no dischargeOral - DS mm pink and moist CRT<2sThyroid palpation - all palpates normalLymph nodes - all WNLCardiac: HR normal, rhythm fineRespiratory: RR clearAbdo - soft and pliableGenitourinary clearMSK - no pain on manipulation of joints, patellas non luxating, hips and spine normal range of motion, no pain on palpation, no osteoarthritis signsNeuro - clearIntegument - skin tags present, not ulceratedTempBCS 3/5Anal glands: Full, reddish discharge, smelly. Cytology: Cocci++++, rods++++, Heals of Neutrophils ++++Assessment:1. Anal gland infectionPlan:Antibiotics twice daily for 5 days.Pain relief medication.Vaccination postponed to revisit Recheck anal glands at revisit.Revisit require: Yes, day 7.    Vital Signs