C10021618 / invoice 10000

Reason: Abdo UsSee historyNo further vomiting since last thursday, still not eating as much though - was eating more with probiotic paste on board and had good formed fecesBit flatHad some chicken and z/d last nightNo Trilostane since last visitOngoing GIT issues - on z/d but also gets chicken or small amounts of spaghetti etcFinished cortate on 7th March - ideally do ACTH stim 3 weeks after so around 29th MarchHeart murmur increased to grade 3 at last visit (same today) - o not financial to do x-rays todaySpecialist Ultrasound Admission FormHas your pet eaten in the last 12 hours?: No Procedure details : UltrasoundPhone: 0418 292 544Is this the preferred contact number? If not, please complete below: YesEstimate : 749View full form at https://api.vetcheck.it/share/AU_91d6a1dc-1de6-4cf0-9d41-5a0fa6cc6225RGN: abdominal ultrasound examinationFindings:1. Liver is homogenous with normal gallbladder2.Normal spleen3. Both kidneys have hyperechoic cortices with stippled echogenic foci in diverticuli4. Both adrenal glands are normal size - left 2.1mm and 4.0mm diameter poles, right 4.2mm diameter caudally5. Urinary bladder has slightly thickened wall with hypoechoic swirling debris and granular distally shadowing foci up to 4.2mm diameter in the dependent aspect of the bladder6. Normal GIT and pancreasInterpretation:Chronic cystitis and cystic urolithiasisBilateral renal fibrosis with mineralisationAdrenal glands normal - not typical of hyperplasia - no evidence of adrenal tumourNo evidence of gastroenteropathyUrine (cysto)USG 1.026Protein 3+, glucose negative, ketones negative, pH 8, trace amount of rbcSediment - some rbcs, on 1000x can see cocci visibleTK - spoke to owners:- no evidence of gastroenteropathy- adrenal glands appear normal, given history of GIT issues also should still ideally consider doing ACTH stim end of March- chronic cystitis and cystic urolithiasis - could be incidental finding or could be why she is flat too- x-ray MAY show size of crystals/stones depending on if opaque- ideally c&s of urine to see what AB would be sensitive toO will come down and will discuss    Vital Signs