C10030264 / invoice 10000

SHC + vacc + bloods
History:
- Topan: Vaccination and checkup due. Owner noted limping recently but resolved. Weight loss noted - current 3.38kg, previously 3.7kg. Food obsessed, eating well. No increased water intake. No vomiting. One cat in household with soft faeces - Topan's faeces healthy.
- Cyan: Vaccination and checkup due. Weight gain of 200g. Sensitive stomach with vomiting and diarrhoea. Soft faeces noted.
EDDU: Topan - appetite normal, urination and defecation normal, no vomiting. Cyan - vomiting and soft faeces.
Diet: Variety of wet food, beef strips (broken up for Topan due to dental extraction), Royal Canin biscuits.
Medical condition: Topan - full mouth extraction last year. Previous Solensia injection caused severe itchiness - discontinued. Cyan - sensitive stomach.
Medication: Nil current.
Kept: Both cats allowed outside during day, stay in garden. Two other rescue cats indoors only.
Parasite control: 
Behavioural concerns: 

Examine:
Topan:
Weight change: 3.38kg (previously 3.7kg) - weight loss noted
Muscle condition score: Getting thin
Teeth/oral cavity - Full mouth extraction last year, eating well including beef strips
Heart rate - Normal
Heart rhythm - NAD
Chest auscultation/Lungs - NAD
Abdominal palpation - NAD, kidneys smooth
Musculoskeletal - Sore in hips bilaterally, discomfort on extension
Pain score - 2/6

Cyan:
Weight change: 5.9kg (gained 200g)
Teeth/oral cavity - No dental required, beef strips helping
Heart rate - Normal
Heart rhythm - NAD
Chest auscultation/Lungs - NAD
Abdominal palpation - NAD
Musculoskeletal - Slightly sore
Pain score - 1/6

Assessment:
- Topan: Weight loss, possible hyperthyroidism to be ruled out with bloods. Possible early arthritis.
- Cyan: Weight gain. Sensitive stomach with soft faeces.

Treatment:
Topan: F2 vaccination administered. Blood pressure checked - good. Bloods collected for thyroid and kidney screening.
Cyan: F2 vaccination administered. Blood pressure checked - good. Bloods collected.

Plan:
- Topan: Await blood results for thyroid and kidney function. Foresight nutraceutical recommended for arthritis - start gradually, may cause temporary soft faeces. Can be given to all four cats as they share food bowls.
- Cyan: Weight management recommended - reduce biscuits gradually over 3-4 weeks to avoid hepatic lipidosis. Foresight recommended for joint health and weight management. Probiotics may help with soft faeces.
- Follow-up when blood results available.

SHC

History: (No concerns at home)
 EDDU: (Normal)
 Diet: (Dental dry and wet food)
 Medical condition: (No)
 Medication: (No)
 Kept: (Indoor/outdoor - mostly goes out to toilet)
 Worming: (Will need some today)
 Behavioural concerns: (No)

Examine:
 Weight change: (-275g - intentional)
 Muscle condition score: (A)
 Mentation - (BAR)
 CRT (<2) seconds
 Teeth/oral cavity - (<G1)
 Eyes - (NAD)
 Ears - (NAD)
 Skin - (NAD)
 Lymph nodes - (NAD)
 Thyroid - (NAD)
 Heart rate - (170, no murmur)
 Heart rhythm - (NAD)
 Chest auscultation/Lungs - (NAD)
 Abdominal palpation - (NAD)
 Musculoskeletal - (NAD)
 Urogenital - (NAD)
BP RFL 140

Laboratory:
 CBC: HCT-(38.01)    RBC 7.31    MCV 52
 Biochemistry: ALB-(34)    ALP-(28)   ALT-(114)   TBIL-(6)   BUN-(9.3)   CA-(2.47)   Phos-(1.36)   CREAT-(157)   GLU-(7.3)   Na-(147)    K-(2.9)    TP-(78)   GLOB-(44)
 TT4: (34)
 
Assessment: (Hypokalemia
Mild azoteamia - pre-renal/renal)

Treatment: (Start 1 tab hypokal BID)

Plan: (Difficult to get urine sample (has 4 cats at home and sometimes toilets outside) - have discusssed coming back in 6 months, recheck bloods (kidney profile) and we can get a urine sample then)

Recheck/Recall/Reminder: ()

 

SHC - bloods - BP 150, creat 125, tT4 25
last saw kitty in Oct. 2022

History: (doing well, no particular concerns
on dental dry - loves it, but is gaining weight - o has started mixing it with senior dry
mobility good, but lazy)
 EDDU: (normal)
 Diet: (senior dry, dental dry)
 Medical condition: (none)
 Medication: (none)
 Kept: (indoor)
 Worming: ()
 Behavioural concerns: (nonne)

Examine:
 Weight change: (+900g)
 Muscle condition score: (a)
 Mentation - (BAR)
 CRT (<2) seconds
 Teeth/oral cavity - (no gingivitis, NAD)
 Eyes - (NAD)
 Ears - (NAD)
 Skin - (NAD)
 Lymph nodes - (NAD)
 Thyroid - (NAD)
 Heart rate - (170)
 Heart rhythm - (NAD)
 Chest auscultation/Lungs - (NAD)
 Abdominal palpation - (NAD)
 Musculoskeletal - (NAD)

LFL size 3 cuff 150 

Laboratory:
 CBC: (unremarkable, hct 48.42)
 Biochemistry: ALB-(40)    ALP-(31)   ALT-(66)   TBIL-(5)   BUN-(11.4)   CA-(22.54)   Phos-(1.35)  
                      CREAT-(125)   GLU-(7.8)   Na-(150)    K-(3.8)    TP-(75)   GLOB-(36)
 TT4: (25)

Assessment: (overweight)

Treatment: ()

Plan: (portion out dental food, reduce total amount)

Recheck/Recall/Reminder: ()