C10020049 / invoice 10000

Reason: Blood In UrineHISTORY:History Summary:Presenting for stranguria and pollakiuria for the past 24 hours. Owner reports being up every hour overnight with Lacey posturing to urinate with minimal production. This morning, drips of blood were noted when posturing. Normal urination was noted in the waiting room, without obvious blood. Currently on a diet of canned and dry puppy food. Second vaccination was administered on Monday. No known rat bait exposure.TRIAGE:HR: 124RR: 24Temp: 38.8CMM: Pink & moistCRT: < 2 secondsMentation: Bright, alert, and responsivePain Scale (MGCS): 1/4 abdoHydration status (%): euhydratedEXAMINATION:Body Condition Score: 5/9Cardiovascular: Cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: Thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: Neurologically no significant findings, no cranial nerve or proprioceptive deficits/gait, full neurological exam not performedMusculoskeletal: Ambulating normally, no apparent neck, spine, limb or joint pain, full musculoskeletal exam not performedGastrointestinal:- Oral: NSF- Abdominal: Mild discomfort when bladder palpated, otherwise nad- Rectal: not performedUrinary: Haematuria observed post-palpation.Reproductive (incl ext genitalia): NSFIntegumentary system: NSFLymph Nodes: WNL on palpationEyes: NSFPROBLEM LIST:1. Haematuria, stranguria, pollakiuriaDIFFERENTIAL DIAGNOSIS:Urinary tract infectionConstipation.DIAGNOSTICS/MANAGEMENT PLANA free-catch urine sample was collected during the examination - but only 2-3 drops. Urinalysis in house- Method: free catchStained preparation: large amount of cocci ++++, Not enough urine to perform other testsBiochemistry test: unremarkablePT/aPTT: 16.3 / 105.1Discussed option with owner to do cystocentesis but currently bladder is empty so Lacey would have to stay with us for longer to be able to collect urine. Owner would prefer to start medications nowMeloxicam and Amoxyclav dspensedOwner to recheck with regular veterinarian    Vital Signs