C10013778 / invoice 10000

UPC and UA resultsurinaylsis normal, no sign infectionprotein negblood negpH 7.5minimal red and white blood cells- see reportUPC 0.1 normal (<0.5) and ideally less than 0.25 which it isvery good resultsto let Sue know and recommend r/c bloods and urine in about 6-8 weeksCalled Sue and she has regained 200g and is enjoying the rce renal food which is great.Sue prefers to consider a non processed renal diet and will see a vet who understands nutritiona nd will make up said diet. In meantime she is tranistioing well onto the renal diet for now.

HI Sue,Hope you are well and maxi's diarrhoea has settled. WE won't get maxi's urine tests back until Tuesday.Please text me then for results.Regards,Katrina Lange

abdo u/sHisotry: has been wellisosthenuria and very marginal elevation in BUN and creat so want to check renal appearance on u/sExam: seems wellTreatment: 0.2mls acp with 0.25mls butorphanol to sedate then routine u/sComments: from u/sBladder is large size.Walls are thin, smooth.Normal anechoic contents.Ureteral jets not visualized, but no dilation of the ureters near the papilla noted.Kidneys are normal size.Left kidney has indented margins on the cranial pole.Cortical echogenicity is normal.Corticomedullar definition is mildly reduced.Normal pelvic diameter.Ureters not visible.Adrenal glands are normal size.Spleen and liver have sharp margins, normal size.Parenchyma is homogeneous, normal echogenicity.Gallbladder has normal size, thin walls.Pancreas not seen.GIT no wall or mural abnormalities.No lymph node enlargement.FINDINGSMild abnormalities of the renal architecture, and corticomedullar structure.Possible congenital disease ( likely juvenile nephropathy )No evidence of ectopic ureters.Disucss with owners at dischargerecommendUPC after u/a at asap and if any signs infection to go with culture rather than UPC initiallystart renal diet- ordered RCW renal wet and dry to start but Sue would prefer a natural diet which we can get made through a vet nutitionist, to look into thistoday BP readings in lat recumbancy but she is a bit anxious 198/109167/116a bit high but need to repeat them next week with calm quiet room and owner present and no drugs on baord- to do at GIto repeat bloods and urine in 6 weeks if she remains well etc