C10027309 / invoice 10000

Reason: Vetnostics Results Received & Attached - ZoeLaboratory: Specimen             Catheter                          CHEMISTRY MICROSCOPY    pH                   5.0      Leucocytes       > 100   x10/L     (< 10) 6    Protein                    Erythrocytes     > 100   x10/L     (< 10) +++ 6    Glucose              nil      Epithelial cells   40    x10/L     (< 10) 6    Blood                      Bacteria           numerous +++    Ketones              nil    Bilirubin            nil    Crystals:     No crystals seen.    Specific Gravity:   1.011                             Heavy growth (>10^8 CFU/L) CULTURE    Org 1:  E.coli     SUSCEPTIBILITY    Ampi/Amoxycillin  R                 Enrofloxacin       S    Cephalexin        R                 Sulpha/Trimeth     S    Doxycycline         S               Clavulan/Amox     R     Marbofloxacin      SMICROSCOPIC EXAMINATIONAcross the smears examined, cytological findings revealed numerous neutrophils (some of which appeared degenerate and some of which contained short bacterial rods within their cytoplasm). Occasional intact urothelial cells (some which occasionally displayed mild anisocytosis and anisokaryosis) were also scattered freely throughout the background of the cytospin smear examined. A moderately to markedly increased population of short bacterial rods was also seen scattered freely as well as in short chains and clumps throughout the background of the cytospin smear examined. Occasional squames were also present (likely secondary to collection technique). DIAGNOSIS Marked pyuria and moderate to marked bacteriuria COMMENT Please refer to culture results to further investigate the significance of the microbial component associated with this urinary tract infection more closely. Urothelial cells displaying mild anisocytosis and anisokaryosis did not exclude the possibility of underlying epithelial neoplasia-particularly if there has been no significant response to appropriate antimicrobial therapy and there is no obvious evidence of urolithiasis-although urothelial cells in the presence of a significant inflammatory/infective process or chronic persistent irritation (e.g. urolithiasis) may undergo dysplastic change which may mimic neoplasia. Please refer to urinalysis report for further investigation.Treatment:Enrofloxacin 50mg PO SID Client communication: STO and relayed pathology results. Advise can pick up antibiotics from reception area    Vital Signs