C09995277 / invoice 20000

Reason: Bloods (Leave Long)History: 8am given gabapentin & trazodone. Had eye ulcer about 2 weeks ago, also on tacrolimus. Bottom of lid. Seen at ophthalmologist. Started on cephalexin and eye has improved. Since starting cephalexin,  A week ago started drinking more water +++  Not holding urine any more, now regular accidents in house Decreased appetite - usu a very good eater. Not eating in the morning which is highly unusual. Eating the entire day's food overnight.Last dose of cephalexin was given a week ago. All changes in thirst and appetite and energy started with cephalexin.O has measured 600-700mls of water intake over 24h.  Brought first urine in this morning. Meds: On B12, eye drops and iron. Had soft stool initially with cephalexin. No current diarrhoea or vomiting. Examine: QAR, sedated. Mm pink, CRT1s. HR120 no murmur or arrhythmia = PR regular. RRwnl normal effort.  T 37.67. Abdominal palpation tense. Peripheral lnns wnl. Weight stable. Laboratory: USG 1.014. Dipstick pH 6. All else negative.Assessment: new PUPD. Isosthenuria on 2 morning urine samples. Plan: vetnostics TAHP. JW to follow up tomorrow (sat).    Vital Signs    Weight: 12.96;       Temperature: 37.67;       HeartRate: 120;       

Reason: Urine Sample Drop-offDate and time of collection: 6/3/26 AM Kept in fridgeReceived by:Testing required:UA incl sediment is the default. Alter as appropriateLaboratory: UrinalysisVet/Nurse initials:Sample appearance:Signing Veterinarian initials:Owner informed of results?:    Vital Signs    

Reason: Urine Sample Drop-offDate and time of collection: 630am 5/3/26 not kept in fridgeReceived by:Maricia Testing required:UA incl sediment is the default. Alter as appropriateLaboratory: UrinalysisVet/Nurse initials:Sample appearance:Signing Veterinarian initials:Owner informed of results?:--- 05/03/2026 13:38:12 KJRUSG 1.014Neg blood, + protein, neg glucose, bilirubinPH 6.0Sediment - wnlCommunication: --- 05/03/2026 15:28:56 NPH:NH spoke to claudiaAdvised of urine resultsMostly unremarkable except usg is about isosthenuric.This MAY indicate renal disease (although bloods were normal when last tested)However did drink overnight an durinated a few times so cant be certain there is renal dysfunctionNo evidence of obv uti or prostatitis/diabetes from urine testingPlan: Plan is to observe for a few more daysIf appetite not back to normal by wed next week can look at taking bloods and doing some extra investigation    Vital Signs