C10029428 / invoice 10000

Appointment Notes: VETSTORIA  Chiao fei Tsai (0416407525 fei08129@gmail.com) with Nana (Dog) - Consultation (UTI) - [Veterinarian :  Consult 2A(No Preference)] -  Web BookingClient name: Chiao fei TsaiContact number: 0416407525Email address: fei08129@gmail.comPatient name: NanaPresented today for suspected UTI.Previously had one in January this year, was treated, but didn't get a culture done after ABs finished.O wiped her after urinating yesterday and found pink smear on the tissue.Eating and drinking normally, but did vomit twice yesterday, but still eating todayHas a bone last weekend, but it was large, and only to chew on, can't swollow anythingNo excess licking of vulvaO feels she's not 100% for about 4 days.Current eating biscuits onlyBAR, BCS 5/9Mm pink, dentalHR rapid 140-160bpm, sinus arrhythmia, no obvious murmurAbdomen soft and non-painfulRecessed small vulva, no signs of overt dischargeTemp 39.0O has brought in fresh voided free catch sample.Plan to run in house urinalysis and call O with results and to make a plan from there.O happy with that plan.USG 1.030Blood on dipstickLots of struvite on sediment exam, and bacteria. Would recommend to treat for 10 days. But revisit for ultrasound to check for bladder stones and collect cystocentesis sample for C/S at the end of the AB course given the reoccurence in such a short space of time    Vital Signs