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Any guesses on what’s going on in this bladder?

Any guesses on what’s going on in this bladder?

 13 year old/spayed Pekingese, bad athritis and weak in hind limbs, sits to urinate, can’t hold self up.   In December urine culture came back as Beta Hemolytic Strep (no cancer cells seen in urine)- dog had trouble urinating, also couldn’t control bladder, urine was bloody, puss discharge. Ultrasound in Dec was suspicous of cystitis. …