KitKAt Bladder Case study: Dr Shaurat
Client name: Kitkat
Breed: British Shorthair
Age: 4 years
Kitkat was 4 years old when he came to the clinic with a complain of vomiting three (3) times
His parent stated that Kitkat had not passed urine since two(2) days
Kitkat was staying at a friends place while his fur parent was out of town.
Kitkat had another guest cat staying with him that dint like him around, cat showing clear signs of stress
PHYSICAL EXAMINATION :
On physical examination Kitkat showed pain on palpation of the abdomen
Urinary bladder was full, distended and Kitkat felt pain on palpation
Kitkat was immediately administered fluids/electrolytes as he was dehydrated and lethargic
Completed blood Count (CBC) & General Health Profile test were suggested
DIAGNOSTIC TESTS :
IDEXX CBC & General Health Profile was conducted, leading to the Creatinine levels being very high ,levels above 130
Ultrasound was done and the urinary bladder was distended with sludge
Furthermore free fluid was seen around the urinary bladder
Leak suspected in the abdomen
Electro Cardio Gram (ECG) was also done.
HYPERKALEMIA was detected due to blockage in the urethra and leak in the abdomen
Since Kitkats Potassium (K) levels were high, he was administered Calcium gluconate inj intravenous
Insulin levels were maintained
Dextrose was administered, ECG was monitored
Kitkat was sedated and then a urinary catheter was placed.
The tom cat catheter was placed in Kitkats urethrea with great difficulty as there was a mucus plug also seen
The urine collected was dark red showed increase blood, protein and glucose.
For maintaince Inj amoxicillin and ringer lactate was administered
Kitkat was kept in the hospital for 1 week and was monitored regularly.
Follow up electrolytes were administered
Potassium levels dropped down to 4.5 levels
Urinary catheter replaced to avoid infection
Regular checks were conducted on Kitkats progress
Fluid was given according to his weight
He was also force fed Trovet recovery food
Kitkat was discharges a week after hospitalization and sent home
Kitkat’s furparent was advised to come in for regular check up every 3 month to check kidney functions.
Kitkat was advised to move back to his original house being the only cat
A water fountain was suggested to increase the water intake of Kitkat
Cat comfort (pheromone) was also advised
Kitkat was called in after two (2) days
Ultrasound was conducted, no leak was seen
Creatinine was not stable and Kitkat was prescribed Trovet renal food