11/3/2023

Pre-surgical exam, anesthesia, and surgery performed at offsite vet. Green linear tattoo placed lateral to incision. Medical records in Vet Documents. Start 0.25 ml Meloxicam 0.5 mg/ml sid po x 2 days as pain management.

2/9/2026

DVM Intake Exam Estimated age: 2y 8m based on the condition of teeth and eyes Microchip noted on Intake? Positive History: Owner surrender Subjective: BAR H pink 1 sec Observed Behavior - grumbling, body hunched over, painful Evidence of Cruelty seen - No Evidence of Trauma seen – No Evidence of Neglect- No Objective P = 120hr R = 40rr BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: NSF PLN: No enlargements noted H/L: NSR, NMA, CRT<2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FS MSI: Ambulatory x 4, skin free of parasites, body shaved, feces matted to tail fur, urine soaked ventral abdomen CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment rectal prolapse - 2" mostly healthy tissue with some sloughing but healthy tissue beneath; R/O straining bc of megacolon, constipation, uroliths, other straining. Prognosis: guarded Plan: sedate with 0.28 mLs DTK (0.0125 mg/kg dexdorm, 0.25 mg/kg tel, 5 mg/kg ket) IM reverse with 0.07 mLs antisedam IM radiographs: radio opaque material in feces in colon (feces feel sandy), at least 7 spiculated uroliths in bladder and at least 3 smaller ones in urethra. radioopaque material in area of kidneys visible on lateral view but not on V/D. CBC: neutropenia, mild lymphocytosis, eosinopenia, basophilia, thrombocytopenia Likely changes due to chronic infection/inflammation . Young FeLV- but cannot rule out neoplasia or other bone marrow dz. Chem BUN 40, Cre 1.3, SDMA 8, electrolytes NSF (mild decrease NA and Cl. R/O dehydration. Intake procedures Was able to reduce size of rectum using 50% dextrose enough to replace rectum. Placed purse string using 3-O PDS 50 mLs SQF Convenia 0.25mLs SQ buprenorphine 0.2 mLs IM

2/10/2026

BAR and leaning into pets. pet did not eat o/n but urinated in box. ABD: SNP NMP RECTAL: purse string in place. Plan transfer to offsite surgeon for cystotomy and urethral flush. Buprenorphine 0.3mg/ml 0.25 ml buccal at 11:20 am.

2/13/2026

Cystotomy at AAH on 02/10/26 Discharge form uploaded to vet documents. Today she received Zorbium, pink on 2/13 at 12pm to keep her comfortable during recovery. Reach out in a week for bladder culture and stone analysis results, her antibiotics may be changed based on results. Start Clavamox/Amoxicillin 62.5mg: Give 1 tablet by mouth every 12 hours for 5 days. Start tonight.

2/14/2026

SO: Post op cystotomy at outside vet BAR, comes to kennel door tense, but allows for brief exam. Seen straining to urinate in litter box eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4, skin incision CDI neuro: mentation alert and appropriate A: post op cystotomy P: received zorbium yesterday starting 6mg onsior PO SID x5d gabapentin 50mg PO BID x10d

2/15/2026

Issue List: - post-op cystotomy - rectal prolapse that persists - anorexia QAR not eating EENT: no nasal or ocular discharge noted H/L: eupneic PLN: WNL ABD: relaxed U/G: FS MSI: Ambulatory x 4, normal hair coat CNS: Mentation quiet - no signs of neurologic abnormalities Rectal: prolapsed rectum A) -h/o bladder stones with urethral partial blockage; post op surgical correction -prolapsed rectum- second time prognosis poor P) CWSC Telazol- 0.12 ml IM (0.04 ml additional for better sedation) replace rectum- rectum reduced with moderate difficulty; used the outside covering cylinder of 1 m syringe as a template for the purse string with 2-0 PDS If tolerated, remove purse string in 7-10 d's SQ fluids- 100 ml LRS Stool softeners repeat zorbium on 2/16 q 4 days Miralax- 1 ml po q 12 hrs for 2-3 weeks Laxarone- 2 ml po q 12 hrs for 3-4 days then 2 ml's q 24 hrs for maintenance cancelled gabapentin as not eating it in food