C09993477 / invoice 10000

Appointment Notes: Email from owner Thurs26/2: He is leaving pee drops outside the box, keeps licking himself and I add health monitoring pellets to the pee drops and they immediately turned deep blue (alkaline).  ------- Sms reply: yHistory:He is dripping outside the box, started on Thrusday litter changed color to purple which indicates alkaline urine, this has happened before, still EDD normally, when he comes out of the box after he urinates there are drips of urine on the floor, he seems to be going to the litter tray often, he has had PU surgery, he used to get blocked, currently eats RC digestive care wet.Examine:BARMM P&M, CRT<2, T-39.0Eyes NADEars NADLNs NADCVS transient G 1/4 heart murmur, PMI sternum to left side, no arrhythmia, HR 200Thorax clearAbdo palpation both kidneys normal size and shape, no feces in colon, small and mildly uncomfortable bladder palpationAbdo auscultation normal peristalsisBCS 7/9DD G 1/4Ultrasound:Small bladder, moderately thickened bladder wall, mild active sediment seenLaboratory:pH 8.0, cocci seen on sedivue images (negative on report), no crystals seenPlan:AMoxyclav 25 mg/kg BID for 2 weeks, recheck INI     Vital Signs    Weight: 7.75;       Temperature: 39;