Case 13, Answer 5b

Correct. Given the behavioral changes that the owner has noted at home, medical management is warranted and would include a diet change and medications to decrease encephalopathic toxin production. Because Olivia is a female dog and the uroliths are smooth and small enough to pass through the urethra, removal of the stones via voiding urohydropropulsion may be considered and would allow stone analysis to confirm composition and decrease the risk of obstruction.

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