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      Date:   23 June, 2012  

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Standard Operating Procedure - Urinary Tract Infections & urinary stones
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
23 June, 2012
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
 

From Jun 23, 2012, all vets at Toa Payoh Vets will practise evidence-based medicine. In cases of urinary tract infection, urethral obstruction and urinary stone removal,  urine test is the minimal test to be done.

Blood test, X-rays, ultrasound, urinary stone analysis (in urinary stone removal) should be advised and recorded that advices have been given. These tests (esp. urinary stone analysis) should be done, whenever relevant and possible unless the owner has economic reasons for not wanting tests done. An example is given below:

Friday, June 15, 2012

1030. Consistent professional advice for struvite UTI

 
I have spoken to Dr V and Dr D regarding the need to give a consistent advice on the management of struvite UTI in dogs. Many Singaporean owners check the internet and are more sophisticated than in the old days.
 
A case is illustrated:
Case of the female Shetland, one year old. Dr Daniel's case
Jun 10, 2012. Complaint of blood in the urine for 2-3 months.
X-ray of bladder advised but not accepted

Urine test

   pH 9.0 (5-8)
   SG 1.026 (1.005-1.030)
   Protein +
   Blood trace
  WBC 30
  RBC 10
  Bacteria 2+
  Triple phosphate occasional


Tentative diagnosis should be UTI with struvites. Dietary management, acidification of the urine and antibiotics should be the treatment, not just antibiotics.

Follow-up urine test in 4 weeks is the minimum. X-rays of the bladder will be preferred. Most owners don't bother with follow-up. It is important.

Note: Triple phosphates are "struvites".
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BE KIND TO DOGS & CATS --- GET YOUR PET SPAYED TO PREVENT BEHAVIOURAL PROBLEMS AND INFECTIONS AT AN OLDER AGE. More case studies, goto:  Cats  or  Dogs

To make an appointment: e-mail judy@toapayohvets.com
tel: +65 9668-6469, 6254-3326

toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
tpvets_logo.jpg (2726 bytes)Toa Payoh Vets
Clinical Research
 

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All rights reserved. Revised: June 23, 2012

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