SMOKEY – 34146

MANHATTAN CENTER

Smokey 34146

Location: Manhattan

Intake Date: 7/11/18

Intake Type: Stray

Medical Behavior: Green

Sex: Male

Age: 4 years

Original Location: 10034

DVM Intake Exam

Estimated age: Estimated 2-6 years based on dentition
Microchip noted on Intake? Scanned negative

History : Finder stated her friend left this cat with her 3 days ago, he has been rubbing his penis and she thinks hair has gotten into it. Today she noticed that he was lethargic and bleeding.

Subjective: Alert, mews a lot, walks out of carrier

Observed Behavior – Allows all handling including removal of plug from penis with my fingers, no complaining, struggling or tense behavior

Evidence of Cruelty seen – None

Evidence of Trauma seen – None

Objective
QAR, MMs pink, BCS 9/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Clean adult teeth
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Soft, non painful, no masses palpated, not distended
U/G: Male intact, testicles S/S and scrotum matted and slightly crusty. Penis is partially exposed and there is a large amount of fur and white chalky discharge in the prepuce around the penis. There is a plug of white material visible inside the urethral meatus – it was removed and pt began to urinate immediately. Bladder is LARGE and full – expressed bladder with some difficulty, urine was orange.
MSI: Ambulatory x 4, skin free of parasites, no masses noted, recently shorn region just dorsal to the base of the tail. Fur smells strongly of cigarette smoke and cat urine.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally

Assessment:
1. Obese
2. FIC, urethral obstruction with large mucus plug in the tip of the urethra – unblocked during exam

Prognosis: Fair-good with appropriate care

Plan:
1. Recommend low-stress environment and high water consumption, feed canned diet only
2. Simbadol 0.9 ml SQ SID x7 days
3. Prazosin 1 mg PO BID x7 days
4. LRS 300 ml SQ SID x5 days
5. Gabapentin 0.7 ml PO BID x14 days
6. Recommend weight loss of 4-7 lbs
7. Urinalysis and urine culture – sending to IDEXX
8. Monitor daily to ensure pt is urinating. If pt becomes blocked again, this is an EMERGENCY and pt will need immediate treatment!!

SURGERY:
Temporary waiver due to recent FIC episode

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