C10032892 / invoice 10000

Vet: FMHistory:Previous heart murmur detected on routine exam. Previous blood tests normal, monitoring advised.Presented for increased grooming, frequent litter tray visits, and reduced urination. Owner reports ~7-day history of excessive licking after using litter tray. No urination observed since this morning despite multiple attempts. Indoor cat, known to be very stressed with travel. Uses tofu-based litter.Owner concerned about possible urinary blockage.Objective:Very anxious / fractious in clinic, attempting to escape during examHR elevated due to stress, pulses strongHeart murmur present (previously known)RR increased, likely stress relatedMM pink, moistBladder small, soft, minimally distended on palpationNo obvious obstruction palpatedExcessive grooming behaviour reported by ownerDiagnostics:Bladder ultrasound performed– No large uroliths seen– No obvious urethral obstruction– Bladder smallAssessment:Suspected feline lower urinary tract disease (FLUTD)Likely stress-induced cystitisCannot fully rule out early obstructionDifferentials discussed:Idiopathic cystitisUTI (less likely but possible)Urolithiasis not seen on ultrasoundUrethral spasmStress-related inflammationPlan / Options discussed:Option 1 (ideal):HospitalisationMonitoring for obstructionUrinalysis ± cultureBlood testsCatheterisation under GA if blockedOption 2 (conservative outpatient):AnalgesiaAnti-anxiety medicationBladder support supplementsHome monitoringUrine sample collection at homeRecheck within 24 hrsOwner elected conservative management.Treatment given in clinic:Buprenorphine injection givenGabapentin dispensed 100 mg PO BIDBuprenorphine 0.4 mL transmucosal for home useCystopro dispensed for bladder inflammation supportUrine collection container providedAdditional recommendations discussed:Feliway recommended as part of multimodal stress managementEncourage wet food to increase water intakeConsult regular veterinarian regarding prescription urinary diet if signs persistLaxapet / hairball lubricant acceptable if concern for furballs — use as per product directionsReduce stressors at home where possibleClient communication:Discussed feline idiopathic cystitis and strong link with stress.Explained risk of urinary obstruction even if bladder currently small.Advised urgent return if unable to urinate, vomiting, lethargy, or painful abdomen.Owner understands risks of home management and elected outpatient treatment unless signs worsen.Recheck recommended within 24 hrs.Prognosis:Fair to good if non-obstructive FLUTDGuarded if obstruction develops.    Vital Signs    Weight: 6.4;       MMColour: pink;       Temperature: 36.9;       HeartRate: 200;       RespirationRate: 44;       CRT: 1;