C10007598 / invoice 10000

4 days of urinating inside.No changes noted otherwise.No prior issues.Verified: NOHISTORYPrimary reason consult: Urinary issuesConcerns: Changes to urinationHistorical conditions: Vacc due: Worming/ flea/tick: Current medications: Mentation at home: BAREDDU: eating & drinking normal - urinary changes, defecation normal - No vomitingDiet: Skin: Lumps: Mobility: Risk Factors: PHYSICAL EXAMCondition: BCS= /9, Mentation: BARMobility: HR/PR: 120 clear on auscultation bilaterally, regular and strong pulseLungs/RR: lungs clear on auscultation bilaterally, normal breathing sounds and effortTemp: deg C normalMM: pink, moist, CRT<2secTeeth: appropriate bite, clean, no gingivitisEyes: normal appearance of eye and eyelids, normal pupillary responsesEars: normal appearance of pinna and external ear canal, no malodourSkin/Coat: Lnn: no enlargement palpable externallyAbdom palp: some reaction on palpation, faeces palpable in colonOther problems found: - Rectal exam difficult due to large amount of firm faeces present- Unable to adequately assess prostate due to faecal impaction- Patient anxious and nervous during examinationPROBLEM LIST- Urinary changes- Faecal impaction/constipation- Reluctance to defecate outside due to wet weatherDIFFERENTIALSUrinary tract infection, urinary stones, constipation secondary to reluctance to go outside in wet weatherTESTS- Urine sample collection and analysis plannedPLAN- Collect urine sample for urinalysis- Monitor for next couple of days- Further testing if urine abnormalities found or condition worsensCLIENT COMMUNICATION- Explained that male dogs are less likely to get urinary tract infections- Discussed that stones are a possibility but clinical signs don't strongly suggest this- Main suspicion is reluctance to go outside due to wet weather causing both urinary and defecation issues- Advised to monitor and return if condition changes or worsens- Will start with urine testing and proceed based on resultsTREATMENT    Vital Signs    Weight: 12.4;