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Dr. Paul Brazzell here.
It is good that they dis an abdominal ultrasound but did they only look at the bladder and not the ureters, kidneys?
And has she been dribbling urine ever?
Yes and who did the ultrasound- was it a specialist? If not then I would want one to do that. I have taught veterinary ultrasound for many years and the skill of the operator is a huge factor in getting the diagnosis.
They should be looking at the whole urinary tract for sure. We need to know that there is no infection higher up.
It could also be that we are really just dealing with a resistant e.coli and they need to be culturing the urine after antibiotics are started and after they are finished.
Personally- I would consider a different veterinarian.
If she has lots of crystals then there are lots of issues here.
What type of crystals?
Could she have a portosystemic shunt- if they are ammonium acid urate crystals
If they are struvite then she almost for sure has another UTI
Well we need a good ultrasound done and I worry that neither clinic is going to be able to deliver on that
How close is the nearest vet teaching hospital? Where do you live?
Okey dokey :)
Well we will work with what we have okay?
Suggest you stick with the one clinic now.
Can you get me all the reports thus far, including the US report?
I will review all of these for you and my wife, who is a veterinary pathologist with an interest in micro can review the culture reports.
Lets do it that way.
You are very welcome.
You can just take photos of the results and send them as pictures here.
And please dont forget to rate me- That is how I get paid :)
This site sucks for that- sorry!
What if you type the results in here?
I was overseas with my daughter
Getting back to work now :)
Let me review today and opine