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Diagnosis of uroabdomen in the dog | VETgirl Veterinary Continuing Education Videos

In this VETgirl online veterinary continuing education video, we discuss how to diagnose uroabdomen in a dog. In this video, a 5-year-old, male neutered springer spaniel developed a uroabdomen after jumping from a boat to the dock. The patient presented several days later to the ER, and was bradycardiac, lethargic, and dehydrated. Preliminary diagnostic workup revealed azotemia (creatinine 8.2 mg/dL) and hyperkalemia (8.3 mmol/L). Abdominocentesis was performed, and fluid analysis revealed an abdominal creatinine of 28 mg/dL. An IV catheter and urinary catheter were placed. An IV fluid bolus, calcium gluconate (10%), regular insulin and dextrose bolus were given. A contrast study was performed which revealed the source of the urinary tear. The dog was taken to surgery once stable, and a 4 inch tear was found along the ventrum of the bladder wall. Post-operatively, the dog was maintained on IV fluids, fentanyl for analgesia, maropitant, antimicrobial therapy, urine output monitoring, urinary catheter care, symptomatic supportive care, and clinicopathologic monitoring. After 3 days of hospitalization, the dog was discharged with normal renal values and recovered well.

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