C10032653 / invoice 10000

urinalysis:

culture negative
Ph 7.5
SG 1.013

STO - suggest proceed with blood test - discussed options for profiles. caniine wellness a good starting point for ziggy.

booked for blood draw tomorrow. 

is drinking a bit less since last visit.

Primary Presenting Complaint - Did a big puddle of urine in the car yesterday twice
Other Complaint - 
         Loyalty Reward Program - Y/N
History - 
         Last Normal -
         Frequency   -
         Last Ate       -
         Medicine Hx  -
         Diet              -
         Vacc Current -
         Worming Hx  -
         Heartworm    -
         Microchip       -  Y / N    -  scanned - ok?

Examination -
         Attitude -excited
         Body Score -  5  /10
         Temperature - not indic
         Heart -   HR. Murmur - not indic
         RR -
         Dental - Score(0-4)= 1.5   .Comment
         CRT - immediate
         Eyes - mild nuclear sclerosis
         Ears - clean and discharge free
         Abd Palpation - Unremarkable
         Gastrointestinal -  No Sig Findings
         Urogenital -  No Sig Findings and no crepitis or pain assoc with bladder palp.
         Skin - 
         Musculoskeletal -  No Sig Findings
         Neurological -  No Sig Findings
         Lymphatic - No Sig Findings
         Other key findings = 

Urine test
Trace PRO
pH 8.0
USG 1.010
all else NEG

Assessment - open
Problem List - PD, PU
DDx                 - UTI, medical causes of PD etc
Discussed      - O says in past would bring 4 - 6 litres of water a week but is now drinking 2+ litres every day and she is only home during the night and drinks and spends time at mums too. Had 2 episodes or urinating large volumes while travelling in the car. The urine is poorly/not conc so consistent with PD and risk that any sign of WBC may be washed out. The urine is alkaline too so could be a good environment for UTO ir calculi. O happy to get urine C+S first and if that is clear then next step is bloodtest(CP2 or Chem 15 + CBC)
Treatment Plan - await urine.
Prescriptions(on-going) -
Next Visit            -

Primary Presenting Complaint - intermittent lamesness RHL worse after sunday after getting leg caught in door then jumping off wall
Other Complaint - 
         Loyalty Reward Program - Y/N
History - 
         Last Normal -
         Frequency   -
         Last Ate       -
         Medicine Hx  - gaba + cart
         Diet              -
         Vacc Current -
         Worming Hx  -
         Heartworm    -
         Microchip       -  Y / N    -  scanned - ok?

Examination -
         Attitude - BAR, happy /interactive today
         Body Score -    5/10
         Temperature - not taken
         Heart -   HR. Murmur - no, sinus rhythm
         RR - panting/excited
         Dental - Score(0-4)=  2  .Comment advise planning for dental clean
         CRT - 1.5s pink moist
         Eyes - NVL
         Ears - clean and discharge free
         Abd Palpation - Unremarkable
         Gastrointestinal -  No Sig Findings
         Urogenital -  No Sig Findings
         Skin - nsf
         Musculoskeletal -  No Sig Findings
         Neurological -  No Sig Findings
         Lymphatic - No Sig Findings
         Other key findings = 

lateral digit right hind foot has abnormal nail growth. some pain on manipulation but evidence of licking is on the other side of the foot. 

Assessment - 
Problem List - pain in cranial quad area 
DDx                 bruise/sprain/strain
Discussed      - most likely burising from trauma. 
Treatment Plan - 
- meloxicam
-rest
-reassess ini
Prescriptions(on-going) -
Next Visit            -