C09997547 / invoice 10000

urinalysis (free catch): 5.30am. USG 1.022, pH 5.0, 1+ protein, -ve blood, -ve bilirubin, -ve ketones, -ve glucose. sediment:  inactive. < 1phpf WBCs, < 1phpf RBCs, no bacteria, no crystals, no casts.can last all night without urinating. drinking more in last 6 months. no obvious polyphagia. 24kg 12 months ago so has lost weight. walking her 5km a day now instead of just 1-2 times a week.no panting. exercise tolerance good. plan: owner monitoring 24 water intake and will let us know. UPC pendingdepending on results recommend abdo u/s. +/- LDDST after u/sowner communication 3-3-26UPC 0.5 (borderline)water intake 1.4L Friday-saturday  62mls/kg/day1.2L Saturday-Sunday 53.3mls/kg/dayplan: recommend going ahead with abdominal u/s.     Vital Signs    

Appointment Notes: Cohat AAdmit time: 8amEstimate?: dental handout in consultProcedure Q's? nonePre/post op text received? Any Q's? received no questionsSigns of illness? noneFasting reminder: Food 10pm & Water 7amNurse initials: DSPre-GA bloods done: Noteworthy findings (Marked elevation in ALKP **1222)Called Gregory to discuss findings - advised that an elevated ALP can indicate a number of things including primary liver dz - infectious, inflammatory, secondary - pancreatitis, gastroenteritis vs  toxins vs neoplasia vs metabolic dz (cushings, DM, hepatic lipidosis), drug induced.Advised would like more information as we only did a prep profile inhouse.  Will require IDEXX TAHP and an inhouse UA.Discussed CSx of cushings - pu/pd, ravenous appetite, pendulous abdomen.  O said that Holly has always been a big drinker, at this stage, is able to hold her bladder overnight.  Loves her food, but O only feeds 1 meal at night, and is quite strict with her.  Walked 5km a day, however, still unable to lose any weight.Gave verbal consent to run further tests.Once the results come back, and there is high suspicion for HyperA, next steps would be abdominal u/s with LDDST.Inhouse Urinalysis:Sample collected at  am/pm   via: urine sample pending as unable to collect any in clinic.  sent home with urine collection container with instructions, and O to drop in fresh urine sample tomorrow morning. USG:LEU:NIT:pH:PRO:GLU:KET:BIL:UBG:ERY:Hb:Cytology :Plan: urine sample pending, and IDEXX bloods pending.    Vital Signs    Weight: 22.5;       HeartRate: 104;       Temperature: 38.5;