11/4/2025

DVM Intake Exam Estimated age: 1 to 3 years Microchip noted on Intake? Scanned negative History: Stray cat found outside a week ago. Finder noted pet not eating or moving recently. Subjective: Quiet but aler Observed Behavior - Vocalizes when abdomen touched Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective T = 96 P = 150 R = WNL BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Mild tartar PLN: No enlargements noted H/L: NR, NMA, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Male intact. Blood dripping from penis. Hard moderate bladder. MSI: Ambulatory x 4, skin free of parasites, no masses noted, dull hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: WNL externally RAdiograph No bladder stones seen POCUS: Hyperechoic debris but no stones seen in bladder. Assessment UO - chronic hematuria Prognosis: Guarded to poor Plan: Dexdomitor 0.5 mg/ml 0.15 ml + Butorphanol 10mg/ml 0.15 ml IM Aspirated 50 mls red urine via 22 gauge butterfly catheter Unblocking: Encountered blockage 10 mm proximal to penile orifice. Flushed with saline and passed 3.5 fr slippery sam u-cath halfway and then could not advance. Expressed bladder. Encountered tight narrowed distal urethra with repeated attempts. Flushed with 22 ga IVC and then passed 3.5 fr red rubber catheter successfully. Adjusted placement based on radiographs. Secured with 3-0 monocryl roman sandal suture. Admin Ketamine 100mg/ml 0.1 ml IM for additional sedation during unblocking. Heat support LRS 30 mls bolus over 30 minutes then 30mls/hr x 2 hours. Discontinue o/n. Simbadol 1.8mg/ml 0.4 ml SQ sid x 3 days Antisedan 0.06 ml IM Gabapetin 100mg/ml 1ml po bid x 14 days UA via cystocentesis to lab o/n chem screen Intake tasks SURGERY: TEmporary waiver

11/4/2025

BG 220 high SDMA greater than 100 Creat too high to read BUN greater than 130 phos greater than 16.1 Ca 6.6 low Na 144 low Potassium greater than 10 high Chloride 104 low Liver values wnl Tbili 2.7 high A: acute renal failure with severe hyperkalemia secondary to chronic urinary obstruction Prognosis: Guarded Plan Resume IVF in am

11/4/2025

temp 97.5 Occasional VPCs

11/4/2025

Temp 98.7 HR 150 SSP pet lying sternal Removed heat support LRS 10mls/hr IV o/n

11/5/2025

SO: In medical after resolution of urinary obstruction. Was difficult unblocking with possible stenosis of urethra. U-catheter still in place and flowing. IV catheter in place, but fluids discontinued overnight BAR, head bunting and allows all handling, but does not appear to be eating. eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated abd: bladder small on palpation ug: urinary catheter in place and dripping hematuric urine msi: ambulatory x4 neuro: mentation alert and appropriate A: urinary obstruction P: currently on simbadol and gabapentin Restarting IV LRS at 18ml/hr 0.3ml cerenia IV SID x3d

11/5/2025

Urinalysis Specific gravity 1.014 (L) Urine protein 3+ Blood 3+ WBC 30-50/hpf RBC >100/hpf Bacteria rare cocci <9/hpf continue current treatment plan and consider rechecking blood work tomorrow

11/6/2025

Per ACR, Drew blood for in-house CBC/chem and alerted rounds DVM

11/7/2025

SO: In medical on management post urinary obstruction. 3.5Fr red rubber indwelling urinary catheter in place. BAR, allows all handling. Has been eating urinary diet with reasonable appetite. eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 abd: on abdominal palpation bladder small neuro: mentation alert and appropriate A: post urinary obstruction P: pulling urinary catheter today and will monitor for urine production small amount of urine coming from around urinary catheter zorbium 0.4ml applied topically 0.3ml convenia due to presence of cocci on recent UA switching to sc LRS 100ml sc SID x3d

11/8/2025

In PM had passed urine in litter box, small amounts bladder small on palpation removed IV catheter and e-collar to facilitate eating.

11/8/2025

SO: Removed urinary catheter yesterday post unblocking of UO. Blood work had normalized and was passing grossly normal urine form u-cath QAR, comes to kennel door head bunting and seeking attention. Unable to tell if passed urine overnight, but some diarrhea in litter box eent: eyes clear, no ocular or nasal dc apparent oral: mm tacky h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 abd: abd palpation, bladder small but feels firm neuro: mentation alert and appropriate A: urinary obstruction-resolved P: brief AFAST small bladder with subjectively thickened bladder walls no significant debris noted in bladder lumen during AFAST passed small puddle of grossly normal urine rechecking chemistry in house to monitor potassium as had become mildly hypokalemic may require PU if resistance to urination is to physical narrowing of urethra

11/8/2025

Per Dr. 1697, Repeated in-house Chemistry

11/8/2025

In house chemistry Glucose 161 mg/dL (H) but improved SDMA 15 ug/dL (H) Potassium 3.6 mmol/L (WNL) A: Potassium now within the normal range very mild elevation in SDMA with all other renal values normal P: Adding gabapentin 0.3ml 100mg/ml PO BID indefinitely. Consider discontinuing if too lethargic. Replaced e-collar as was licking prepuce this morning

11/9/2025

Issue List: - post UO and marked post-renal azotemia - underweight - unblocking was diificult Q-BAR H eating; small amount of urine in litter box EENT: no nasal or ocular discharge noted H/L: eupneic PLN: WNL ABD: relaxed; small bladder U/G: MI MSI: Ambulatory x 4, dull hair coat, underweight CNS: Mentation quiet - no signs of neurologic abnormalities A) FLUTD with UO x 1 underweight P) CWSC