C10006290 / invoice 10000

Reason:  haematuria
History: o noted bloody urine  3-4 times, not certain if blood is coming out of vulva when not urinating
 EDF normal
drinking more last week
otherwise normal demeanour
no V+

Current medications: nil

What Preventative health cover is being used and do you need to purchase any today?
Vaccination: due end of March 26
Worming: 
Flea control: 
Heartworm Prevention: 

Examine: 
Mentation: bar, anxious
Body condition score: 7/9
MM:      pink          CRT: < 2 sec
HR:     120 bpm    RR: panting
LN: wnl
Temperature: 38.4C

Ocular: nad
Oral/Dental stage: 1 ds
Ears: nad
Cardiovascular:  no audible murmurs/arrythmias
Respiratory: panting
Gastrointestinal: abdomen tense to palpate
Integumentary & lumps (measurement, location): nil skin tent
Musculoskeletal: normal gait
Urogenital: nad
Neurological: no visible deficits


Problem List: haematuria/bleeding from vulva: 

AFAST: no visible free fluid or evidence of stump pyometra today

UA inhouse: 

Dipstick: Free catch
dark yelow
cloudy
usg; 1.043
pH; 6
Trace protein
Glu/ket/blood/bil: neg
urobil: norm
leuk: neg

Sediment: nil bacteria, nil  rbc, nil crystals

Assessment: No current explanation for haematuria. Recommend tahp +  PT and APTT with idexx + sedation and abdominal ultrasound with Kerri + C+S of urine , collected via cystocentsis as next step. Estimate on file. 

MP called and discussed the above with O. O elected to monitor P and proceed with further diagnostics if cs recurred. Adv to monitor P for any lethargy, pale gums or bleeding on skin and if they are noted, needs to see an emergency vet. 

Treatment: nil for now

Plan: monitor p and treat/investigate if cs recurred. 

On-going medications required: Y/N (use prescription tab for further supply):

Followup: 

- Gabapentin 800mg x42 dispensed on 31.10.26
- Only had x34 in stock, x8 put aside
- O paid for all tablets, Multiple attempts made of contacting o, as below

27/01 CFC- sms again //

sms reminder sent sr 6.1.26
O will collect soon, has moved to Midland, but still wanting to collect form here 

31.10.2025 - 
Found sitting in s/o tray from the above date, looks like we owed them caps JC

- As of 10.2.26 still aside, Have credited x8 tablets on account and put back into stock

Text sent to client

Hi Lara. The surgeon is happy with Eva's radiographs and the healing present. There is a final rehab session available where review to assess return to normal activity can be discussed further. Kind regards, Susan