arlene appears to be normally alert and interested in her surroundings here is arlenes lateral survey abdominal radiograph the yellow arrow points to the kidneys and the blue arrow to the bladder no

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Arlene appears to be normally alert and interested in her surroundings.

Here is Arlene's lateral survey abdominal radiograph. The yellow arrow
points to the kidneys and the blue arrow to the bladder. No abnormalities

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This is a different case. The blue arrow points to the bladder and the red
arrow points to a radiodense calculus. We cheated on this image in that
the calculus was less dense on the original film so we image intensified it

to make it easier to see.

This is the ultrasound image of Arlene's bladder. The light blue arrow
points to the lumen of the bladder. The dark blue arrow points to the
bladder wall which is uniformly thicker than normal. It normally appears

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This is an ultrasound image of the bladder of a different case. The light
blue arrow points to the lumen of the bladder. There are calculi in this

bladder as noted by the white arrow.

This is a double contrast cystogram of Arlene's bladder. The light blue
arrow points to the lumen of the bladder with a puddle of radiopaque
contrast material. The dark blue arrow points to the bladder wall which is

uniformly thicker than normal, confirming the ultrasound findings.

<b>Work Sheet #7</b>

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On physical examination the cat seems normal. The bladder is small and seems to
become firmer as you palpate it. Immediately after you finish palpating, the cat goes to
the corner of the table, squats and urinates bright red urine. Urinalysis on this sample

shows: pH 6, Sp. Gravity 1.045, protein-trace, glucose - negative, ketones - negative,
occult blood-large, RBC - innumerable, WBC - 5-10/hpf.

<b>1. How would you define the cat's problem? What are your rule outs in the order of what </b>
you think is most likely?

<b>2. What is your diagnostic plan?</b>

<b>3. See Arlene's radiographs. Given these findings, what is the most likely rule out and </b>
what is your therapeutic plan?

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