C09987831 / invoice 10000

Reason: Male Unable To UrinateAppointment Notes: ANBReferring Veterinary Practice:Cahstwood cat palaceOk to send Hx to rDVM: Yes or No - YESHistory:Goes to toilet 2-3 times a day normally When he goes 5 times a day then O nornally give meloxicam then settles down Started 3pm today then goes toilet over 20times Laying on unusual extended leg position - trying to get comfortable Gaba 25mg + meloxicam given at 5pm - no effect  O has another cta at home - two are in good term.Examine:BAR nice cat Vitals see left - mild hyperthermia Chest aus - NAD no murmur no arrhythmia, lung clearAbdo palp - NAD soft comfortable, empty bladder very small, no discomfort pain on palpation PLNs - NAD Current problems:Polakiuria Dysuria Assessment:FLUTD - Cystitis stress vs pathological (bacterial vs strubite)  Treatment:Buprenorphine 0.02mg/kg SC @740pmPlan:Continue with gabapentine 50-75mg po BID -TID 5days Adjust dose accordingly Meloxicam tmrw if needed (no more than 2 days in a row)Utilise water fountain (O uses it already), add extra litter tray, feliway If symptoms persist in 2 days - speak to RV for urinalysis    Vital Signs    Weight: 4.91;       Temperature: 39.4;       HeartRate: 180;       

    Vital Signs