The annual cat health check: what to test and how to prepare
An annual cat check includes history and physical exam, CBC and biochemistry; from age seven add T4 and urinalysis, and for seniors monitor blood pressure, heart and joints. Familiarise the carrier beforehand.
Step-by-step checklist
- 01 Leave the carrier out at home before the visit
- 02 Bring vaccination, parasite and medication records
- 03 Note water intake, urination and appetite over two weeks
- 04 Core items: physical exam, CBC and biochemistry
- 05 Add T4 and urinalysis from age seven
- 06 For seniors, check blood pressure, heart and joints
Overview
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A complete annual check starts with history and physical examination: weight and body condition score, temperature, heart and lung auscultation, abdominal palpation, skin and coat, eyes, ears and mouth. Cats hide discomfort well, and weight trends and dental tartar often flag problems earlier than a single test.
Basic blood work usually includes a complete blood count and biochemistry to assess anaemia, hydration, liver and kidney function, glucose and electrolytes. For cats over seven, add thyroid hormone (T4) and urinalysis; seniors also warrant blood pressure and echocardiography.
Urinalysis matters especially in cats. Early feline lower urinary tract disease and chronic kidney disease may show only changes in urine specific gravity or protein, which blood tests can miss. Sampling method affects results, so ask in advance whether a urine sample is needed.
Vaccines and parasite control should follow lifestyle risk, not an automatic full set every year. Indoor cats, multi-cat homes and outdoor-access cats differ; bring prior records and let the vet decide by exposure risk.
Preparation: leave the carrier out for several days so the cat becomes familiar with it, and bring vaccination, medication and recent toileting records. For anxious cats, ask the clinic about pheromone support or quieter appointment times.
Owner questions
Does a young indoor cat need an annual check?
Yes. Many problems are silent early on, and annual visits build a trend for weight and blood values.
Is urinalysis always necessary?
From age seven it is recommended. It adds information on urine concentration and sediment that blood tests cannot provide.
My cat is very stressed — can I skip the vet?
Long-term avoidance is not advisable. Ask the clinic about quiet slots, pheromones or sedation to reduce stress.