BOWIE – A1053091

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Manhattan Center

A1053091 – BOWIE 2Y MALE WHITE DSH

STRAY INTAKE: 09/28/2015

INTIAL EXAM:

S/O: found outside unable to walk, MN about 2yo

Appearance: BARH, very sweet, laterally recumbent

Integument: soaked in urin, normal nails

EENT: OU clear, AU copious discharge, pruritic, No nasal d/c

Oral cavity: MM pink, CRT <2sec, Healthy dentition

PLN: WNL

H/L: No murmur or arrhythmias, Lungs clear

ABD: severely firm, distended bladder

U/G: MI, very erythematous penis and peripenile area with hair clumps, able to urinate small amounts when bladder pressure applied

M/S: non amb

BCS: 7/9

Neuro: mentation appropriate

HCT 31.6%

WBC 16.3/microliter 5.5-19.5

%NEU 73.3

%LYM 17.4

%MONO 2,2

%EOS 5.3

%BASO 1.8

NEU 11.94K/microliter 2.5-12.5

LYM 2.84K/microliter 0.4-6.8

MONO 0.36K/microliter 0.15-1.7

BASO 0.3K/microliter 0.00-0.10

PLT 187K/microliter 175-600

Parameters Results Reference intervals

GLU 125mg/dl 74-159

BUN 80mg/dl 16-36

CREA 2.1mg/dl 0.8-2.4

PHOS 7mg/dl 3.1-7.5

CA 9.5mg/dl 7.8-11.3

TP 7.6g/dl 5.7-8.9

ALB 3.3g/dl 2.2-4.00

GLOB 4.2g/dl 2.8-5.1

ALT 72U/L 12-130

ALKP 22U/L 14-111

GGT <0U/L 0-1

TBIL 0.4mg/dl 0.0-0.9

CHOL 152 mg/dl 65-225

Na 160mmol/L 150-165

K 4.9mmol/L

A: FLUTD with mild azotemia

P: unblocked with red rubber catheter, CBC chem performed, 0.5 cc dexamethasone SC, 0.5 cc cerenia SC, 0.5 cc penG SC, 200 cc LRS SC, bladder flushed with LRS several times, 360 ML red urine extracted from bladder. Pt sedated with 0.15 each of telazol and dexdomitor IM, reversal with 0.1 cc atipam IM. 0.27 cc buprenex SC. continue SC with buprenex BID SC, prazosin, cerenia SID, clavamox BID. recc rescue for further workup.

RE-EXAM:

cat continues to be very gentle and allows all handling and treatment without any signs of aggression

animal able to urinate, but bladder still large

red rubber sutured in place, to aid in expression of bladder

gave 150 cc lrs sq, gave 0.1 diazepam, gave 0.3 buprenex

9/29 9:45

Cage exam

Appearance: QAR, laterally recumbent

Integument: soaked in urine, dirty coat

EENT: OU clear, moderate ceruminous debris AU, No nasal d/c

Oral cavity: MM pink, CRT <2sec, Healthy dentition

PLN: WNL

H/L: No murmur or arrhythmias, Lungs clear

ABD: tense, distended abdomen

U/G: MI, very erythematous penis and peripenile area with hair clumps, able to urinate clear stream when bladder pressure applied (significant amount of pressure needed, patient crying out)

M/S: hindlimb paresis, some motor, hyperextended, reflexes intact, BCS 7/9

Neuro: mentation appropriate

A:

Middle aged MI DSH

1) Hx of partial UO, unblocked; FLUTD

2) Hindlimb paresis, nonambulatory

3) Dirty coat

P:

1) Continue cerenia, clavamox, buprenex, and prazosin as previously prescribed

2) Buprenex 0.01 mg/kg IM. Pass red rubber today to aid in urination. Give valium 0.5 mg/kg IV

3) Manually express urinary bladder BID to ensure pt is emptying

3) Keep in medial and recheck daily

4) Find rescue for further treatments/rehabilitation

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