Willowbend Animal Hospital
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- Jonathan O’Neal’
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1 Willowbend Animal Hospital 7606 East 37th Street North Wichita, KS FOR: Compassionate Cecy Brandt 3450 N. Ridgewood St.#819 Wichita, KS (936) care for every patient, every time. Printed: at 6:45p Date: Account: 414 Invoice: Date For Qty Description Price Bingo 1 Catheterization, Intravenous 1 Radiologist review STAT 2 Radiograph- additional view 1 Radiograph 1-2 views 1 CBC/CHEM in house 1 Exam Total charges, this invoice... Your old balance... Total payment(s) received... Mastercard payment _ Merchant ID: , Approval code: 02077B, Transaction ID: Ref #: , Act #: ************7970, Exp: XX/XX, Entry: SWIPED, Card: MASTERCARD Your card balance is not available I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT X _ Your new balance Reminders for: Bingo (Weight: 30.6 Ibs - 12y) Last done Canine DAP 3 year Canine Rabies 3 year Senior profile Idexx Heartworm test Bloodpressure measurement Canine Bordetella Urine protein/creatinine ratio
2 Reminders for: Bingo (Weight: 30.6 Ibs - 12y) Last done Annual Rabies Tag Revolution Ibs Leptospirosis Intestinal parasite screen Bingo's weight history (in Ibs) Willowbend Animal Hospital is certified by the American Association of Feline Practioners as a CAT FRIENDLY PRACTICE. I
3 Willowbend Animal Hospital 7606 East 37th Street North Wichita, KS FOR: Compassionate Cecy Brandt 3450 N. Ridgewood St.#819 Wichita, KS (936) care for every patient, every time. Printed: at 7:49a Date: Account: 414 Invoice: Date For Qty Description Price Bingo 1 CBC/CHEM in house Carprofen 75mg caplets Total charges, this invoice Your old balance Total payment(s) received Visa payment Merchant ID: , Approval code: 07512A, Transaction ID: Ref#: , Act#: ************4879, Exp: Xx/XX, Entry: SWIPED, Card: VISA Your card balance is not available I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT x _ Your new balance Reminders for: Bingo (Weight: 36.0 Ibs - 12y) Last done Canine DAP 3 year Canine Rabies 3 year Canine Bordetella Heartworm test Senior profile Bloodpressure measurement Urine protein/creatinine ratio Annual Rabies Tag Revolution Ibs Leptospirosis
4 11/6/15 Plan for Bingo / Diagnosis of chronic kidney disease. This means that at least 66% of his kidney cells no longer work. This is a progressive disease, meaning more kidney cells will stop working as time goes on. Once 75% of the kidney cells no longer work, then kidney failure beings (VOmitL'eight loss, not eating, lethargy). The goal is to run tests to further define the health of the kidneys. This allows optimal treatment to protect the remaining functioning kidney cells and low the progression of kidney disease. Bingo has mild elevations of the kidney values and the urine was not fully c9'f'centrated. This is how we diagnose kidney disease. He also has evidence of infection in the bladde0he infection may be unrelated to the kidneys. It may also be due to the kidney disease, because kidney disease is a common reason for bladder infections in dogs. It is also possible that the bladder infection is causing the kidney disease- but this is unlikely. Immediate plan: 1) Start an antibiotic (Cefpodoxime). 2) Submit the urine for a culture to determine what bacteria is present and what the best antibiotic is. 3) Take abdominal x-rays to look at the kidneys. 4) Measure blood pressure. High blood pressure (hypertension) is very common with kidney disease and it must be treated. Future plan: 5) Submit a urine sample for a urine protein/creatinine ratio. This looks for loss of protein into the urine. Very common with kidney disease and it must be treated. However, we cannot run this test until the bladder infection is resolved. 6) At some point, we will likely need to start a kidney diet. It is too early right now. 7) We need to make sure the phosphorus stays under control- right now it is good. / 8) We may want to start Calcitriol in the near future. This medication can help slow the progression. of kidney disease.
5 Bingo Diagnosis Kidney disease with hypertension (high blood pressure) and proteinuria (losing protein into the urine). Secondary anemia Treatment KID food -decreases the workload on the kidneys and minimizes protein loss into the urine. Enalapril- treats hypertension and proteinuria (minimizes protein loss into the urine). Calcitriol (vitamin D)- helps to control renal secondary hyperparathyroidism o Need frequent, long-term monitoring o Kidney profile after 1 week, 1 month, then 1-2 times a month long term / \J Additional meds that may be needed: o Aluminum hydroxide (phosphate binder) o Pepcid alc o Epogen
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