1/20/2026

[DVM Intake] DVM Intake Exam Estimated age: approx. 2yr based on dentition/conformation Microchip noted on intake? scans negative History: Found outside in a box; noted to have hematuria Subjective: BAR Observed Behavior - Leans in for pets, tolerates all handling and tasks Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective P = 200 R = 24 BCS 5/9 EENT: Eyes clear, ears clean, 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: MI; 2 testicles descended, soft bladder moderately full MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat- smells like urine CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment Approx. 2yr MI DSH Hematuria (R/o idiopathic cystitis vs stones vs infection vs other) Prognosis: good Plan: intake tasks CBC/Chem in-house: elevated BUN (47) with normal creat and SDMA and normal potassium, leukocytosis with mature neutrophilia, lymphopenia, eosinopenia (r/o sterile cystitis vs infection) SQ fluids: 80mL LRS SQ SID x 3 days gabapentin 100mg tonight then 50mg PO BID x 7 days Cerenia 1mg/kg SQ SID x 3 days Feed canned food; urinary diet if available Set up in medical ICU; priority recheck tomorrow SURGERY: Temporary waiver due to hematuria

1/20/2026

The staff veterinarians are issuing a TEMPORARY waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment through to the resolution of the issue. At the time of a full recovery you may choose to have your veterinarian perform the spay/neuter surgery, or make provisions to return the pet to ACC for sterilization.

1/21/2026

Recheck hematuria noted at intake S/O: BAR, timid initially, but warms and allows all handling, no c/s/v/d noted; no urine in LB at time of exam EENT: No ocular or nasal discharge LUNGS: Eupneic ABD: SNP, NMP, UB small and soft MSI: Ambulatory x 4, healthy haircoat A: Hematuria - ro stress cystitis vs other P: Continue with current treatment plan and recheck in 2 days

1/22/2026

In ICU for hematuria. Noted to be straining to urinate during multiple visual checks this AM. On palpation, urinary bladder is full but non-painful. Patient has not eaten breakfast given today. Administer Zorbium topically and recheck in 2-3 hours to monitor response and potentially attempt to express urinary bladder.

1/22/2026

Noted by resident to be straining, disc giving midazolam 0.2mg/kg IM. Given. CTM throughout the day, if concerned p might be blocked at approached end of day, consider transfer offsite for O/N care.

1/23/2026

Straining continued throughout day on additional medications. No urine produced. On palpation, urinary bladder full but not turgid. Patient growled during palpation (did not do this during palpations earlier in day). Sedated with butorphanol 0.1ml + Ketamine 0.1ml + Dexmedetomidine 0.1ml Onsior 0.45ml SQ. IV catheter placed, IV bolus of 50 ml LRS Single lateral radiograph taken showed moderately full bladder. Chem: wnl Patient was light on sedation, gave another butorphanol 0.05ml + ketamine 0.05ml + dexmedetomidine 0.05ml On urinary catheter attempts, patient had multiple areas with gritty material throughout urethra. Attempted 3.5Fr red rubber with high resistance. Passed red rubber ~3-4 inches into urethra, however unable to fully pass with multiple attempts and due to concerns of iatrogenic urethral damage. Able to flush urethra with sterile saline/lubricant using 3.5Fr catheter, enough to create a stream of urine on urinary bladder expression. Reversed with antisedan 0.15ml, patient had full uneventful recovery. Patient went to litterbox and able to urinate after sedation. Plan to recheck 1/23. Evaluate urine production and consider sedation/reattempting urinary catheter placement at that time.

1/23/2026

Priority recheck- stranguria noted throughout the day yesterday, zorbium and midazolam given and yielded no improvement; attempted unblocking in PM, successful in unblocking/expressing urinary bladder, but unable to pass urinary catheter; onsior given. S/O: BAR, comes forward for interaction, allows all handling, didn't eat overnight, straining in litterbox this morning; no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic ABD: Large, soft urinary bladder; unable to express manually MSI: Ambulatory x 4, healthy haircoat CHEM: BUN 13 (L), potassium 3.3 (L), GGT 19 (H) UNBLOCKING: -Sedated with DTK (0.1 ml IM of each), intubated and maintained on iso -Unable to unblock using red rubber catheter, significant resistance met approx 1-2cm in. Attempted to flush with saline, but unable to pass. -Used mila u-cath (with stylus) and sterile saline flush to unblock and pass catheter into UB. Aspirated >60ml mildly hematuric urine. Instilled and then aspirated sterile saline in 30 ml increments. -Removed mila catheter and placed 3.5 Fr red rubber, confirmed placement with lateral rad, secured with tape and 3-0 PDS sutures at prepuce -Closed urine collection system A: Urethral obstruction Hematuria, stranguria P: Keep E-collar on Keep on 1.5x maintenance IV LRS - 15ml/hr Increase and continue gabapentin PO BID indefinitely in shelter Feed RX urinary diet Collect urine for UA (accidentally threw out urine collected during unblocking) Monitor closely and seek placement for continued hospitalization. Unable to monitor patient overnight in shelter.

1/24/2026

Recheck UO S/O: QAR, leans into petting, not eating, no c/s/v/d noted, e-collar in place; about 100 ml urine with some hematuria noted in collection system at 1pm. EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Healthy haircoat, IV catheter in place ABD: Small UB UG: Urinary catheter in place, red staining on white tape holding catheter in place adjacent to prepuce (suspect hematuria leaking around catheter) UA (sample from urine collection system last night): USG 1.008, pH 7.5, blood/hemoglobin 3+, moderate cocci 9-40/hpf A: UO Hematuria FLUTD Anorexia Bacteriuria - ro contamination vs UTI P: Patient currently stable and leaving IV/urinary catheters alone Continue to seek placement ASAP, but okay to remove deadline Start cerenia 1 mg/kg IV SID Start medical feedings BID Convenia 8 mg/kg SQ once Continue IV LRS and monitor urine output Recheck tomorrow

1/26/2026

More pronounced hematuria in bag S/O: EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Healthy haircoat, IV catheter in place ABD: Small UB UG: Urinary catheter kinked and no longer in place , red staining on white tape holding catheter, adhesive no longer sticky. 200ml of bright red urine in the line and bag. A: UO Hematuria FLUTD Anorexia Bacteriuria - ro contamination vs UTI P: Patient sedated with 0.1mL each of DKT. Area scrubbed and cleaned. Penis was extruded and placed a new U-cath, 3.5 Fr red rubber, confirmed placement with lateral rad, secured via finger trap stay suture using 3-0 PDS. Bladder was then flushed and expressed with sterile saline until only slightly red tinged urine was expressed. Sedation mid-procedure became light so 0.4mL total of propofol was given IV. Patient reversed with 0.1mL atipamezole. Addendum- Patient's IV catheter blew and attempts to replace one this afternoon/evening failed. LVT with replace tomorrow. Continue to monitor urine quality and output. Recheck tomorrow

1/26/2026

catheter placed on R forelimb // done

1/26/2026

recheck, had to have u-cath replaced yesterday bc slipped out S/O BAR, A+A, food appears minimally disturbed, no urine in the bag, but urine in litter box (suspect p urinating around u-cath) EENT: no ocular or nasal dc HL: eupneic GU: very small semi firm bladder, u-cath in place, no swelling MSI: amb x 4, good skin turgor A. Hx of urinary blockage - unblocked 1/22, 1/23, u-cath replaced 1/25 P. Applied topical zorbium green onsior 0.45mL SQ once removed the urinary collection bag, left as an open system since p appears to be urinating around it. CTM throughout the day - consider pulling u-cath tomorrow. Leaving in place for now to avoid to much trauma to tissue (has had u-cath place or replaced 3 times over 4 days). Recheck tomorrow Seek placement asap

1/27/2026

Issue List: - FLUTD with UO - has urinary catheter in place - fair appetite QAR H EENT: no nasal or ocular discharge noted H/L: eupneic PLN: WNL ABD: relaxed; non-palpable bladder U/G: M; urinary catheter in place and patent MSI: Ambulatory x 4, normal hair coat CNS: Mentation quiet - no signs of neurologic abnormalities A) FLUTD with UO appetite fair P) CWSC being transferred to off-site hospital consider PU surgery