Case 5
Because of Coco's clinical signs of pollakiuria and poor appetite, you recommend a CBC, serum chemistry profile, and urinalysis. Unfortunately, Coco urinated in the car on the way to your hospital, and the owners decline blood tests because they think she is too stressed to undergo venipuncture. They consent to Coco providing a free-catch urine sample, and thankfully, Coco obliges. These are the results:
Patient values
Reference range
Urine specific gravity
1.025
1.015-1.050
pH
6
5.5-7
Protein
Trace
Negative
WBC
10-12
0-3/hpf
Bacteria
> 100 cocci and rods/hpf
Negative
QUESTION 2
What is your recommendation to Coco's owners at this time?
a) Recommend initiating treatment with a fluoroquinolone for a suspected urinary tract infection (UTI).
c) Recommend a switch to a renal diet and monitor her response.
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