C09981184 / invoice 10000

Reason: Strainging To WeeHistory: Stella presented on 25/2 for possible urinary incontinence. Two dampness found on bed sheets where stella sleeps and another pile of haematuria found in litter tray. Owner unsure whether incidence belongs to Stella due to multiple animals in the household. No witnessed leaking/ dripping/ urine scalding/ straining/ PU back then. Presented today for straining to urinate. Physical Examination:Mentation - BARBCS: 5/9Eyes - NAD, both visual, corneas transparent, no blepharospasm or epiphora Ears - NAD, responds to auditory stimulus, ears free of discharge or odourOral - Mild calculus build up LNS - NAD, submandibular, prescapular and popliteal lymph nodes symmetrical, normal size and consistencySkin, nails and coat - Mild alopecia at the base of the ears, dorsal to the eyes Circulatory - NAD, pulse strong & synchronous, no heart murmurs/ arrhythmiasChest ausc - NAD, no wheezing or crackles, normal bronchovesicular sounds bilaterallyMSK - No lameness or ataxia appreciated. Full MSK exam not performedAbdo palpation - NAD, soft on palpation, no masses or enlarged organs palpated Genitourinary - No discharges from vulva. Desexed animal. Bladder moderate size, firm but comfortable, kidney palpation is unremarkable.Diagnostics: CBC & biochem: unremarkable UA: ASSESSMENT:Stranguria annd haematuriaDdx: UTI vs Cytitis vs Urolithiasis vs Neoplasia Ongoing atopic dermatitisTREATMENT: Nil PLAN:CLIENT COMMUNICATION:    Vital Signs    Weight: 4.31;