AUDIT ANOTHER CASE OF URINARY STONES
Jul 29, 2012
Miniature Schnauzer, White, Female, 5 years
High fever (40C) and no appetite
Associate Vet (Vet X) palpated >10 stones in bladder
Blood test, urine test, stone analysis
Jul 30, 2012
Jul 30, 2012
Total WCC 21.6 (6-17)
N 96% Absolute 21
L 4% Absolute 0.82
Platelets 98 (200-500)
Aug 1, 2012
pH 9.0 SG 1.005 Nitrite +, Protein 3+, Blood 4+, Bacteria 2+WBC 180 RBC >2250
Casts Granular cast occasional
Aug 2, 2012 stone analysis
Calcium stone trace
Phosphate stone +
Oxalate stone trace
Magnesium stone +
Ammonia stone +
This case confirms what is known. No crystals inside the urine does not mean no struvite stones.
Alkaline pH + bacteria (urease) + bacteria leads to formation of MAP (struvite stones).
Sep 20, 2012. Review by me. I asked Vet X to put in writing that therapeutic diet S/D has been advised at least from 1- 3months. If there is recurrence, Vet X cannot be blamed. Advice on monthly
urine analysis. Preferably X-rays 3 monthly.
The children came to buy 2 cans of S/D recently. There need to be more rigorous follow up by Vet X and documentation of advices on medical records in case of recurrence as surgical costs can be very high and owners can be very unhappy when there is a recurrence. Sometimes, they just euthanase the dog to save on costs of surgery.