Dog straining to urinate

Review of Systems

  • General: Normal body weight and bright, alert appearance

  • Skin: Noncontributory

  • HEENT: Noncontributory

  • Pulmonary: Noncontributory

  • Cardiovascular: Noncontributory

  • Gastrointestinal:Noncontributory

  • Genitourinary: Tenesmus, stranguria

  • Musculoskeletal: Moderately swollen left elbow

  • Neurologic: Noncontributory