In any case of house soiling it is important to consider medical differentials before embarking on a purely behavioural assessment of the problem. Any condition which affects gastrointestinal or urinary tract function is a potential candidate for involvement in cases of [[Inappropriate Elimination - Cat|inappropriate elimination]] and a full medical examination is therefore essential. Conditions which result in polydipsia and polyuria may also be implicated when urine deposits are found in unusual locations and endocrine disorders should be considered when investigating these cases. Any medical condition which alters the cat’s mobility may limit its ability to gain access to latrines, and conditions which alter the animal’s cognitive ability or sensory perception may also contribute to a breakdown in previously well-established house training. Organic disease may also be a factor in cases of [[Indoor Marking - Cat|undesirable marking behaviour]].
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Any condition which affects gastrointestinal or urinary tract function is a potential candidate for involvement in cases of [[Inappropriate Elimination - Cat|inappropriate elimination]] and a full medical examination is therefore essential. Any medical condition which alters the cat’s mobility or cognition may limit its ability to gain access to latrines or disrupt established elimination routines and housetraining. Organic disease may also be a factor in cases of [[Indoor Marking - Cat|undesirable marking behaviour]].
The medical workup must include:
The medical workup must include:
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* Medical history
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* Medical history.
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* Clinical examination – including abdominal palpation
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* Clinical examination – including abdominal palpation.
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* Urinalysis
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* Urinalysis.
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* Assessment of mobility, cognitive function and sensory perception
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* Assessment of mobility, cognitive function and sensory perception.
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* Further investigation through haematology, biochemistry or imaging techniques
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* Further investigation through haematology, biochemistry or imaging techniques, as required.