C10018078 / invoice 10000

Reason: L4 - Removed U-CathHistory: - O found urinary catheter disconnected from P this morning -> Foley catheter broken off distally; missing tip & bulb- P was observed to have urinated twice, described as being like a machine gun- Prior to this was well in himself- U-cath was initially placed on 12/02 at WAVES, then later replaced on 18/02 at WAVES- ACCWA patient, started treatment 3 weeks ago for prostatic adenocarcinoma- Last round of chemotherapy on 04/03, Neutrophil count 1.06, with view to remove u-cath at revisit next week- ACCWA confirms no longer cytotoxic todayPast Medical History: - De-sexed- Medications: Antibiotics(?), Meloxicam, Gabapentin, Paracetamol, Laxatives as requiredExamination:Mentation: BAR, *muzzled* limited exam due to temperamentBody Condition Score: 5/9 Cardiovascular: Normal cardiac auscultation, normal rhythm, pulse pressures normal and synchronous Respiratory: Thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal discharge Neurological: No neurological deficits notedMusculoskeletal: AmbulatoryGastrointestinal: - Oral: NE- Abdominal: NE- Rectal: NEUrinary: Penis unremarkable on exam, no sutures or visible urinary catheter material presentIntegumentary system: NSFLymph Nodes: WNL Eyes: NSFDiagnostics:PCV/TP: Blood Gas Analysis: Haematology: Marginal monocytosis & basophilia; Neutrophils 10.78Biochemistry: WNLAbdomen Radiographs: Short remnant of urinary catheter visible in pelvic urethraProblem List: 1. Urethral Foreign BodyAssessment:Discussed with owners various option at length;1. Referral for cystoscope retrieval - discussed with WAVES, do not have appropriate size/length scope; Animalius, would require referral + patient assessment.2. Retropulsion into bladder, followed with cystotomy; est. $8,000-$10,0003. Benign neglect i.e. Allowing P to urinate the foreign body outRisks discussed including urinary obstruction and bladder rupture, urinary tract infection, urethral trauma & inflammation.Ultimately, Os elected for option 3.Treatment: None required.Plan: Re-check with vet if FB not expelled within 72h.    Vital Signs    Weight: 9;