5/7/2026

DVM Intake Exam Estimated age: 3 yr Microchip noted on Intake? negative History:stray Subjective:stray Observed Behavior - lunging hissing and growling at kennel, sedated for exam Is there evidence of suspected cruelty? none Objective: QAR mild dehydration mm pink P = 100 R = WNL BCS 5/9 EENT: Eyes crusted ocular discharge, ears clean, right pinna has wounds and swelling, crusts removed with small amount of blood no nasal or ocular discharge noted Oral Exam: clean adult dentition PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: firm moderately sized bladder unexpressable, scrotal testes MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal:not performed Assessment: UO, non azotemic wound on ear slight anemia HCT 28.2% Prognosis:guarded Plan: sedation Dexdomitor 0.1ml Butorphanol 0.1ml ZOrbium green tube dose topical Onsior 2mg/kg SC Crenia 1mg/kg SC left cephalic 24 g cephalic IV catheter LRS fluid bolus 30ml bolus over 30 min, set at 15ml/hr urinary catheterization 3.5Fr passed with minimal difficulty, some grit encountered. Urine slightly cloudy, dark yellow , floating white pinpoint body in sample.Bladder was flushed with 50mls LRS through catheter UA out ( via free catch) CHEM/lytes BG 311 CBC HCT 28.2%, NEUT 5.07, PLT 0.65 recheck tomorrow SURGERY: Temporary waiver due to urinary blockage

5/8/2026

SO: Urinary obstruction, urinary catheter placed yesterday. Was not azotemic BAR, cheek rubbing all over kennel door. Urinary catheter on floor of kennel. Eating s/o diet with ravenous appetite eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated ug: bladder small and soft on palpation msi: ambulatory x4 neuro: mentation alert and appropriate A: UO post obstruction P: monitor for urine production

5/8/2026

Has been seen straining in litter box intermittently throughout day BAR in kennel, offered urinary s/o canned diet and ate with ravenous appetite Allows for brief palpation of abdomen, bladder small, but does growl during palpation A: FLUTD P: urine production has not been significant, but bladder remains small and eating urinary diet with very good appetite continue to monitor for urine production

5/8/2026

UA at lab usg 1.045 pH 8.0 (H) Urine protein 3+ Blood 2+ WBC 75-100/hpf RBC 30-50/hpf Crystals 2+ ammonium phosphate (6-20/hpf) no bacteria seen suspect all changes related to FLUTD with obstruction

5/9/2026

SO: FLUTD with obstruction, urinary catheter placed 5/7, but was removed by Flare overnight. 5/8 bladder remained small all day and was eating s/o with very good appetite, but was straining to pass urine. QAR, tense, but allows for brief palpation of bladder, some hematuric urine in bedding eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 ug: large firm bladder on palpation neuro: mentation alert and appropriate A: FLUTD with obstruction P: sedate for replacement of urinary catheter 0.1ml dexmedetomidine 500mcg/ml, 0.1ml ketamine 100mg/ml, 0.1ml butorphanol 10mg/ml IM

5/10/2026

Issue List: - FLUTD with obstruction; has been removing urinary catheter repeatedly despite e-collar - eating some QAR DH eating; urine in litter box EENT: no nasal or ocular discharge noted H/L: eupneic PLN: WNL ABD: small soft bladder and easily expressed (urine bloof tinged) U/G: MI MSI: Ambulatory x 4, urine soiled hair coat CNS: Mentation quiet - no signs of neurologic abnormalities A) FLUTD with UO prognosis guarded P) CWSC Telazol- 0.16 ml IM urinary catheter removed by patient again; will see how the cat is urinating naturally (has removed urinary catheter repeatedly and there is urine in the litter box) if re-blocks again consider PU surgery recommend placement on ARL SQ fluids- 150 ml LRS medical bath

5/11/2026

S: UO cat has been unblocked twice already, struvite crystals present on UA. Catheter removed yesterday. O: Found listless in cage today with a large, hard bladder and crystalline debris at tip of penis. Unable to express bladder. A: UO X 3 P: sedate with 0.54 mLs DKT (0.0125 mg/kg dexmedetomidine, 0.25 mg/kg telazol, 5 mg/kg ketamine) IM Passed a tomcat catheter with minimal difficulty. Blood clots and debris in urine. Did not reverse. Needs a PU Sx. Already on ARL.

Upon intake, Flare was friendly and alert with the staff but very curious and wanted to flee.