C10026933 / invoice 10000

Reason: Checkup/ Not Eating FPHistory: TBC nurse: AnanyaHistory:Complete loss of appetite since beginning of this weekPreviously nibbling small amounts but now completely off foodLast proper meal was last weekOnly drinking water frequentlySignificantly decreased energy levelsNot interested in treats when offeredRecent weight loss from 4.3-3.1kg a couple of months agoHad a cold recentlyLifestyle:Dry food given in morningFelix wet food providedUsually fed twice daily, sometimes three timesRecently had increased appetite prior to current episode with up to four meals dailyReceives regular dry food portionsOccasional treats givenNot typically very active cat but current lethargy represents change from baselineSubjective:- Complete anorexia since Monday this week, refusing all food including treats and different food types- Polydipsia with increased water consumption described as drinking an incredible amount of water- Urinary incontinence noted, not moving around to eliminate in usual locations- Weight loss of approximately 24% over past couple of months, last weighed in December- Sudden onset of symptoms from last week with change in habits- Previously normal appetite with three meals daily plus occasional treats- History of vomiting episodes last month, described as unable to stop vomiting- Usually enjoys outdoor access but currently not venturing far from house- Owner reports palpable abdominal mass in kidney regionPast Medical History:- Age 4 years- Previously healthy cat with no prior medical problems- Recent travel from UK in October with pre-travel health checks including blood tests showing normal results- No previous issues with appetite or eating habits- Not particularly active cat but maintained regular feeding patternsObjective:- Dehydration evident on skin elasticity test, skin tenting present- Palpable abdominal mass in renal region, unusual for age- Weak and unwell appearanceAssessment:- Suspected renal disease given polydipsia, polyuria, and dehydration despite increased water intake- Possible kidney stones or obstruction given acute onset and palpable abdominal findings- Differential diagnosis includes kidney infection or structural abnormalitiesPlan:- Immediate referral to university veterinary hospital for emergency care- IV fluid therapy to address dehydration- Blood tests to assess renal function and overall health status- Abdominal imaging (ultrasound) to investigate palpable mass and renal structure- Emergency triage and stabilisation recommended before further diagnostics- Owner counselled on urgent need for hospitalisation given severity of clinical signs- Pet insurance coverage discussed, estimate to be provided by referral hospital    Vital Signs    MMColour: Pale pink ;       Weight: 3.1;       HeartRate: 180;       BodyScore: 4/9;       DentalGrade: 2;       RespirationRate: 12;       CRT: 2<;