C10030753 / invoice 10000

Reason: Blood In UrineTIME: 10.13 AMVET: SOMHISTORY:Last few days he has been going to toilet more frequently and in new sites.Not always producing. Trying every 30 minutes or so.Did a little one before bed on Thursday night.Friday AM - box-hopping around sites and grooming a lot.Then on floor and suddenly went with large volume. Sounds like plug came out.Good stream. No blood.Did have a vxx yesterday (before he unblocked).Seemed to be okay after that.More energy and happy again.Eating fine.Not sure of drinking volume.Was okay last night. Was asleep in bed.Then this am - litter everywhere as trying to wee.Bathroom sink squatting and blood on vanity and in litter. A few weak attempts.Frequently going. Hard to know how well clearing bladder.No dxxNot excessively drinking. Usually regularly.Appetite fine.No weight change.Has not seemed/acted in discomfort.Current meds: noNo allergies to meds.Prophylaxis: vaccinated and wormed - a while - may be duePre-existing conditions: not known as yet.DIET: urinary care purina dryAlternates between whiskas wet sachets and also stress hills wet.Also access to other cat food.Was blocked a few weeks ago.Had unblocking and sent home.Had no bloods or urine testing per finances at the time.Went home on: pregabalin and buprenorphine.STRESSY:Have bought diffuser - just one.One per room.Delivery people yesterday - run and hide.O tries to limit visitor because of stress.TRIAGE:HR: 180 and sl sternal murmurRR: chest fine all quadsTemp: Mm: pink and moistCrt: 1Mentation: QAR and very scaredPain Scale (0-4): not sore. A bit in bladder.Hydration status (%): good.EXAMINATION:Body Condition Score: 5/9Respiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings, no cranial nerve or proprioceptive deficits/gaitMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:- Oral: normal, no mouth pain, dental score (1-4): some tartar - Abdominal: no detectable pain on abdominal palpation, normal gut soundsGI noise ++- Rectal: no detectable abnormalities, faeces:  Urinary: small bladderPoss a bit inflamed.Reproductive (incl ext genitalia): NSFIntegument/Ears: NSFLymph Nodes: peripheral lymph nodes normalEyes: NSFPROBLEM LIST:DIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:DIAGNOSTIC/MANAGEMENT PLAN:Offered bloods and declinedDIAGNOSTICS:ASSESSMENT:TREATMENT:Advise urine check at own ve - cysto sample and assess for crystal and UTIPLAN:CLIENT COMMUNICATION:    Vital Signs    Weight: 6.7;