C10020094 / invoice 10000

Appointment Notes: Coco Rhodes (Dog) - Consultation [Clinician : Dr Will Cusworth(No Preference)] - Blood in urineWeb BookingClient name: Beaus Pet HotelContact number: 0456959146Email address: info@beaus.org.auPatient name: Coco RhodesHx:Boarding 23/2 - 8/3 Fed Adv dryPollakiuria and haematuria noted today, stranguria alsoSlightly soft stoolUsu GVC client - no recent hx of LUTDCE:BAR, drank then vx water and some biscuits in waiting roomSmall thickened feeling bladder and blood staining around vulvaQuick POCUS - no liths, bladder wall ~3-4mm thick (n<=2.4)Blood stained urine sample presented on pad applicators - salvaged sample for sediment, wet prep lots of rbc but no sig crystals Sediment exam 4+ rbc, neuts and rods some intracellularA:UTI  - stress induced?P:Cerenia inj to control vx and ensure oral med compliance7d course clav and review INB or recurrence - request first dose PO at 11am once cerenia has kicked in    Vital Signs    Weight: 20.9;       MMColour: Pink;       HeadEyes: Normal;       Nose: Normal;       Skin: Normal;       MusculoSkeletal: Normal;       Ears: Normal;       Neck: Normal;       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal;       RectalGenetalia: Abnormal;       Demeanour: BAR;       Hydration: Normal;       Temperature: 38.6;       HeartRate: 136;       BodyScore: 5;       PainScore: 1;       CRT: 1-2;       

Reason: << Coco Rhodes (Dog) - Consultation [Clinician : Dr Christina Snow(No Preference)] - Boarder at Beaus pet hotel, liquid stools starting from the 22nd, been on 1cup pm Gastrointestinal biome and synbiotic course (24th-27th) w/ no improvements. No blood in stool, bright demeanor and good appetite.Web BookingHx: 4d of loose stoolsBut this morning formed, only tiny bit wet at end with strainingNot vomiting , eating well and good energy, no blood in stoolsAt beau's 28/7-11/9, eating biomeCE: very bright here, sweet dogMm pink moistHeart ok no murmurAbdo palp loose and comfortable, BCS 5/9Temp 39.0, rectal= emptyAssessment: sounds like resolving diarrhoea - stress, viral, dietaryPlan: add in prokolin paste 5ml bid    Vital Signs    Weight: 15.9;