Snuggles is a female – presumably but not definitively spayed adult indoor/outdoor DLH. She showed up at outside her owners home in 2013. She has not had any litters or observed estrus cycles. She has been urinating on the owners bed “all the time” for several months. She is also in and out of the litter box and drinks water all night. She is a picky eater.
PE -EENT – heavy calculus, mod gingivitis, ears and eyes ok
CV/resp – no murmur, normal rhythm, lungs clearn, tachypneic – very stressed – wouldn’t take gabapentin before the visit
Snuggles is a female – presumably but not definitively spayed adult indoor/outdoor DLH. She showed up at outside her owners home in 2013. She has not had any litters or observed estrus cycles. She has been urinating on the owners bed “all the time” for several months. She is also in and out of the litter box and drinks water all night. She is a picky eater.
PE -EENT – heavy calculus, mod gingivitis, ears and eyes ok
CV/resp – no murmur, normal rhythm, lungs clearn, tachypneic – very stressed – wouldn’t take gabapentin before the visit
GI/GU – firm caudal small abdominal mass
MS – ambulatory x 4, mild muscle wasting, weight loss of about 1 lb since last visit 1.5 years ago
Integ – matted fur
LN – NAF
Superchem/cbc/t4 – BUN 45 (14-36), Creatinine 2.5 (0.6-2.4), CBC wnl, T4 – 2.0
urine – unable to collect a sample
What do you make of this urinary bladder?
Thank you,
Jennifer
Comments
It’s kind of hard to tell
It’s kind of hard to tell what is going on with the bladder as the image is showing fairly dark on this end, one of our veterinary specialists will comment soon. Here is a lighter version screen shot of your last video. Any chance you put power Doppler on any of those irregular looking areas? Also, do you have a linear probe? A linear probe would really define the structures in this bladder.
Thanks for getting back to me
Thanks for getting back to me so quickly.
Sorry I cannot send still images. They are saved as bitmap images. I just tried to upload 2 more clips (one with color flow) via the file attachment link, but they were not accepted.
You can put this case on hold. I will post images using a linear probe when I see Snuggles again.
Ok great, keep us posted!
Ok great, keep us posted!
Sorry for the delay been
Sorry for the delay been under the gun here at ACVIM. Images are a bot dark but I see uniformly thickened bladder and I think I see a thick uterus too. Bad chronic cystitis with that history but bladder lsa can do this as well on rare occasion. Since needing to spay I would push IV fluids, spay and get ub wall bx and culture.
What did the kidneys look
What did the kidneys look like? – as there is azotemia may also have an ascending pyelonephritis present.
Hello,
I have more
Hello,
I have more images/clips of Snuggles bladder/kidneys. I can only save them as bitmap images or clips. I am working to figure out how to save the images in a compatable format. Until that time is it possible to upload more clips? I tried to upload a clip using the file attachment link below but it was not allowed.
Thank you,
Jennifer
yes for adding clips just use
yes for adding clips just use a separate thread and you can add the url onto this thread.
Additional images for this
Additional images for this case: https://sonopath.com/forum/additional-clips-urinary-bladder-pathology-cat-inappropriate-urination