C10007722 / invoice 10000

Method of collection: Free catch - first wee of morningColour: yellowUSG: >1.050Bilirubin: -veUrobilinogen: -veKetones: -veProtein: traceNit: -veGlucose: normpH: 6Blood/Hb: -veLeukocytes: -veSediment: No SedimentComments: well concentrated, renal function normal. Proceed with GA. Can have nsaids if they want for dental pain. Sent smsHi Robbie, Lenny's urine test results indicate normal kidney function. No further testing required, and it is ok to proceed with the anaesthetic. Pls let us know if you would like medication dispensed for his dental pain. Kind regards, Dr Kristina

HaematologyResults Verified on 19/12/2025 by fyTestResultRef IntervalMeterTestResultRef IntervalMeterRCC x 1012/L6.99 5.46 - 8.39|--*--|WC Count x 109/L9.6 5.3 - 14.9|--*--|Hct L/L0.50 0.37 - 0.55|---*-|Neutr %66Hgb g/L173 130 - 200|---*-|Seg Neut x 109/L6.3 3.1 - 10.3|--*--|MCV fl72 61 - 77|---*-|Band %MCH pg25 21 - 26|----*|Band Neu x 109/L00 - 0.2MCHC g/L346 324 - 363|--*--|Lymph %24Lymph x 109/L2.3 0.9 - 4.1|--*--|Platelet x 109/L231 200 - 500|*----|Mono %7retic %0.81 0.2 - 1.5|--*--|Monocyte x 109/L0.7 0.2 - 1.0|---*-|Retic x 1012/L0.06 0.01 - 0.09|---*-|Eosin %4ret-He pg24.6 21.3 - 28.1|--*--|Eosin. x 109/L0.4 0 - 1.3|-*---|nRBC %0.2Baso %0Basophil x 109/L0.0 0 - 0.1|*----|* Blood Smear Exam - WBC and RBC normal. Platelets are normal and clumpedBiochemistryResults Verified on 19/12/2025 by fyTestResultRef IntervalMeterTestResultRef IntervalMeterTot Prot g/L76*53 - 73|-----|*Urea mmol/L8.7 3.3 - 9.2|----*|Alb g/L41*27 - 38|-----|*Creat umol/L119*39 - 117|-----|*Glob g/L35 23 - 38|----*|Tbili umol/L< 1*0 - 4|-*---|Bicarb mmol/L21 17 - 26|--*--|ALT IU/L40 13 - 98|-*---|Glucose mmol/L5.4 3.4 - 6.7|---*-|AST IU/L93*17 - 84|-----|*Na mmol/L146 142 - 154|-*---|ALP IU/L13 0 - 182|*----|K mmol/L4.9 4.0 - 5.8|--*--|CK IU/L425.7 73 - 522|---*-|Cl mmol/L111 103 - 116|---*-|Chol mmol/L10.0 3.3 - 10.0|-----*Na:K30 25 - ...Trig mmol/L1.5 0.2 - 1.7|----*|An. gap mmol/L19 12 - 26|--*--|Amylase IU/L623 334 - 1277|-*---|Ca mmol/L2.5 1.7 - 2.7|---*-|Lipase IU/L43 0 - 75|--*--|Phos mmol/L1.5 0.8 - 1.9|---*-|Assessment- Hyperproetinaemia characterised by hyperalbuminaema ddx underhydration > other- Incrased creat (normal urea) ddx pre-renal (under hydration) > renal (given increased ALB and high normal HCT and no signs consistent with renal disease.- Mild AST increase ddx primary hepatic - benign age related change vs vacuolar hepatopathy > neoplastic > inflammatory/infectious. Vs related to blood draw (muscle stick) vs muscle traumaPlan- Recommended inhouse UA/dipstick to assess early morning concentration to r/o renal disease- Okay to proceed with GA for dental in the new year- Provided well concentrated urine, can have meloxicam dispensed if owner if worried about oral pain- Repeat bloods in 3- 6 months to recheck AST and consider U/S if worsening or other liver enzymes are increasedComms- LMOM for Rabbie; mild changes on bloods likely related to under hydration and wanting to f/u with UA. Will send an email with detailsEmail:Hi Robbie,Lenny's bloodwork has arrived.The haematology results (red and white blood cell results) had no significant findings which is great.The biochemistry results showed a mild elevation in the Creatitine. I suspect this is due to Lenny  being a little dehydrated when the blood sample was taken, especially as his blood proetin level was slightly increased which only typically happens with drhydaration.However just to doubel check this I would recommend a Urine concentration test (USG)andurine dipstickto check the kidney's concentrating ability to make sure these elevations are not related to mild kidney disease.The best sample for this is the first morning urination (before eating and drinking). Once you have this, please drop this off with Lenny 's name and the date on the same day so we can assess this. The cost of this test is approximately $65. Once we have double checked this, we will give you a text/email or call.The only other mild change was an increase in AST, this is an enzyme present both in the liver and muscle and it is possibly elevated just from the blood draw causing mild muscle trauma. Considering none of Lenny's other liver ezymes are increased, I'm happy to monitor this with a repeat blood test in 3-6 months.If you have any questions regarding any of this, please don't hesitate to call the clinic.Kind regards,Dr Maddison Leaver

Owner present: RobbieHistory:Concerns today: NilWas brushing his teeth and noticed a loose tooth on the frontNo concerns with eating, chewing dental treats, catching balls. Was a bit subdued after playing with a pull toyNil GIT concernsNo mobility concernsAllergies are well controlled following cytopoint injection last weekDiet: RC dentalPreventatives: PH, bravecto + paragardMedications- Cytopoint given 5/12Exam:BAR, anxiousmm pink CRT <2 secHR: 124, regular, no murmurthoracic ausc: pantingteeth: missing most upper incisions, one remaining is loose and moved with tongue movement. Heavy tartar upper caudal molars on the L, less on the RHSbcs: 5/9abdomen: comfortable on palpation, no massesskin: no erythema, alopecia or dandruffears: clean, no erythemaeyes: nadLNs: nadmobility/gait: nil lameness or ataxiaDiagnosis:dental disease with mobile incisor requiring extractionPlan:Bloods for pre-GA - okay to text if normalDental in the new yearPrescribed trazodone for the night before and morning of the dental due to clinic anxietyOffered pain relief, declinedWarned owner that the tooth may fall out