C09985288 / invoice 10000

Admit for U/S and radiographs of bladder - given the recent haematuriaOngoing discharge from the vulvamaybe drinking more than normal - USG recently checked - 1.036still scratchinghaving apoquel bidhad cytopoint inj < 4 weeks ago - did not really helpother dog also has similar discharge from the vulvaneither dog has obvious perivulval dermatitisboth dogs seem generally itchy, licking the paws, Mojo is dragging her belly along the groundSedation with intravenous		5kg Medetomidine 1mg/ml	0.13	mlButorphanol 10 mg/ml	0.05	mlReversal with intramuscular		Atipamezole 5mg/ml	0.13	mlBlood taken for comprehensive profileCM: Procedure:Orthogonal views of the bladder were taken. There were no evidence of stones or uroliths. The bladder was minimally filled on ultrasound <1.5cm. There were no obvious abnormalities of the bladder wall, polyps or masses.Unable to collect a urine sample via cystocentesis as bladder inadequately filled A small volume of odorous, yellow-green discharge was visible at the vulva. View of the internal vagina was hindered by the discharge, but there was no obvious structural abnormalities. Vaginal Swab taken of the discharge within the vagina. Send to lab for C&SVaginitis seems more likely than bladder infectionSuggest no antibiotics until swab results are backVIN: Bacterial vaginitis appears rarely in the dogRecurrent vaginitis may improve with stilboestrol as this may help in normalizing the vaginal mucosa and its microbiome. ( same regime as for incontinence)Hold off on trialling this at the momentO to bathe perivulval area if discharge occursIncrease certirizine to 10mg bid for the current pruritisPlease call owner with C&S results when through    Vital Signs