C10020610 / invoice 10000

09-03-2026 4:24:43pm
Dr Ellie J Waters V101086
Presents for: Sedated Rads + investigation of abnormal gait

History:
Owner Reports: Walking strangely since mid Feb. Improved with metacam, but since stopped has bone back to being "a bit off"
Previous treatment: Metacam SID for 14 days
Vaccinations: F3 UTD

Pre-Sedation Examination:
Cardiac: Nil murmurs or arrhythmias, femoral pulses strong and synchronous, HR: 220
Respiratory: Normal respiratory effort and bronchovesicular sounds
T not assessed

Procedure:
Sedated with Medetomidine 0.05ml (0.01mg/kg) and Butorphanol 0.1mL (0.2mg/kg) IM
Adequate sedation - able to place IVC and given 0.5ml alfaxan IV to achieve profound sedation

Radiographed lat lumbar spine, VD hips and VD lumbar spine.

Incidentally found multiple bladder stones in lumen of bladder.

Bones and joints of the spine and hips looking normal opacity. No gross fractures, malformations or joint pathology.

Incidentally found multiple bladder stones in lumen of bladder.

Called o to request permission for ultrasound of bladder + kidneys +/- cystocentesis if enough urine in bladder. O agreed.

Ultrasound revealed thickened bladder wall and multiple stones ranging from 6-7mm as pictured. Some areas of increased opacity found in ventral bladder wall as well.

Attempted U/S guided cystocentesis but did not yield enough urine for urinalysis. Decided to keep in hospital on fluids and attempt collection of urine in litter tray

Procedure performed with HR, RR, Temp, SpO2 monitoring

Woken up uneventfully. Given atipamezole 0.05ml @ 1:25pm

Treatment/Plan:

Start on urinary diet at home (link to be emailed to client)
Start on cystophan
O to collect urine sample at home for urinalysis in house +/- sent to lab for assessment of crystal types and assess for bacterial infection
Once urinalysis has been performed, will help to decide medical vs surgical management

Medical:
Urinary diet + cysstophan +/- acidification, antibiotics if necc. Recheck in 4-6 weeks with ultraound. If still present, will need cystotomy for removal.

Surgical:
Cytotomy plus ongoing medical management to follow.

Client communication

Discussed results and treatment plan as above with owner

Discussed risk of blockage - smaller in females given urethral size but can still be an issue. Advised o to monitor for straining to urinate, collapse or no urine production.

Offered metacam for interim treatment but discussed kidney risks - kidneys okay for now. O wanted to wait until urinalysis and get going on everything at the same time.

EW to send email summary + links for food