C09979128 / invoice 10000

DATE/TIME of CONSULTATION: 09:30hrs, Mon 02/03/26
CLINICIAN: Dan Taft 
Clinical Pattern
7yo MN Staffy
Acute onset, Pollakiuria, Occasional spurting,  Haematuria (increasing red tinge), some off uriantion locations (inside) 
Bright, BAR, Afebrile
Normal EPOC renal values
Small bladder
Small prostate on rectal exam

DD
Bacterial cystitis (most likel
Urolithiasis (small, mobile, not seen on quick scan but may not be visible )
Transitional cell carcinoma (not seen put could be missed or in urthera) 
Prostatitis

Enrofloxacin addition if:
Persistent signs
Dysuria pain
Systemic signs
Prostate enlargement later

Clonidine:
?2 agonist
? sympathetic tone
Mild urinary retention in some cases (rare)
The timing (<1 year on it) makes it very unlikely.



Plan 
¾ of a 500 mg Clavulox tablet
Metacam 

Immediate escalation if:
Stranguria
Anuria
Pain
Fever
Lethargy
Persistent gross haematuria > 3–5 days
Or recurrence within weeks.
owner to collect urine, sent home with pot 


At that point:
Sedated ultrasound
Cystocentesis UA + culture
+/- rads


Clonidine is almost certainly incidental.

DATE/TIME of CONSULTATION: 10/09/2022, 1330
CLINICIAN: Warren McInnes
PRESENTING COMPLAINT: Off food, diarrhoea. 
HISTORY:
Owners feel Brodie has been off for the last week. Has been very lethargic, stretching out on the ground with back legs behind him and legs in front, occasionally involuntary shaking. Owners believe he may have lost a lot of weight over the week and has had some green discharge around his eyes. He has had some loose stools, with some blood in it. He then vomited this morning. Gets fed once a day. Ate last night normally. No big diet change, concerned may have eaten cat food. 

No major medical problems. Not currently on an medication. 

CLINICAL FINDINGS:
Very BAR in consult. BCS 4/9, very muscular. Ambulatory without difficulty. MM pink, CRT<2secs, HR 100. Abdomen comfortable, palpation difficult as BAR and lean. Temperature 38.0. right eye has mild conjunctivitis. fluorets negative. No FB seen. No generalised erythema

PROBLEM LIST:
- One vomit
- Conjunctivitis
- Soft stools

DIFFERENTIALS:
- Dietary indiscretion/intolerance
- Partial obstruction/FB
- Extra GI illness

CLIENT COMMUNICATION/PLAN:
Advised owner Brodie is very well, and suspect gastroenteritis and could be managed as outpatient. owner is very concerned after an internet search of possible differentials. Offered further workup and imaging with costs. Owner unsure how to proceed. Have advised will perform full blood exam as screening check and if normal, manage as outpatient.

DIAGNOSTICS TESTS:
- C-Reactive Protein (CRP) 5.5 (0.0 - 10.0 mg/L)
Haematology and biochemistry all WNL

PLAN:
- Bland diet
- Increase fibre content of diet
- Predneferin forte both eyes five days
- maropitant SC
- Revisit if not eating, vomiting, or diarrhoea persists for more than five days