C10015576 / invoice 10000

Reason: Stranguria, pollakiuria

History: In with Michael today. Stranguria, pollakiuria noticed this morning only. Was treated for a UTI in December. Couple of bile V+ also this morning, Norma stools on walk. Vomiting is not a frequent occurrence for her. Hasn't eaten any FB that owner aware of. 

Medications: Nil

What preventative health cover is being used and is anything required during visit?
Vaccination: UTD
Worming: UTD
Flea control: UTD
HW prevention: UTD

Examination: 
Mentation: BAR, beautiful girl. Loves treats
Body condition score: 5/9
MM: Pink, moist           CRT: 1s
HR: 84              RR: 16
LN: WNL
Temperature: 38.0

Ocular: WNL
Oral/dental stage: 0/5
Ears: WNL
Cardiovascular: No audible murmur, WNL
Respiratory: WNL
Gastrointestinal: Soft and comfortable. Bladder empty. 
Integument: WNL, no perivulval dermatitis
Musculoskeletal: WNL
Urogenital: Vulva is a little recessed. No discharge but vaginal mucosa is very erythematous
Neurological: WNL

Problem list: 
1) Acute onset stranguria, pollakiuria - ddx UTI vs vaginal FB vs crystalluria vs other
2) 2 x V+ - ddx nausea/discomfort associated with urinary tract inflammation vs dietary indiscretion vs GI FB vs hypoA vs other

Treatment: Nil

Plan: Discussed ddx for urinary signs with Michael. Bladder currently empty, so unable to obtain sample for urinalysis. Will treat symptomatically with clavulox (250mg PO BID x 7days), however INI to discomfort, or if recurrent signs in future, next step sample for C&S. Discussed ddx for V+ also. May be linked to urinary discomfort, but if any worsening GI signs recommend revisit. 

Follow-up: CC tomorrow

Vaccine: BRONCHI-SHIELD ORAL
Batch: 5245047A
Expiry: 10-Feb-2027
Next Due: 26-Feb-2027

Vaccine: DURAMUNE ADULT C4
Batch: 5260012
Expiry: 25-Mar-2027
Next Due: 26-Feb-2027