{"id":13409,"date":"2025-06-29T17:31:00","date_gmt":"2025-06-29T14:31:00","guid":{"rendered":"https:\/\/drpawss.com\/?p=13409"},"modified":"2025-06-30T23:32:25","modified_gmt":"2025-06-30T20:32:25","slug":"emergency-high-rise-syndrome","status":"publish","type":"post","link":"https:\/\/drpawss.com\/ar\/emergency-high-rise-syndrome\/","title":{"rendered":"High Rise Syndrome-Spinal Fracture-Ruptured Ureter"},"content":{"rendered":"\n

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\u0644\u0644\u0623\u0633\u0641 \u062d\u0628 \u0627\u0644\u0625\u0633\u062a\u0643\u0634\u0627\u0641 \u062f\u0647 \u0645\u0645\u0643\u0646 \u064a\u0624\u062f\u064a \u0644\u0644\u0633\u0642\u0648\u0637 \u0645\u0646 \u0627\u062f\u0648\u0627\u0631 \u0645\u0631\u062a\u0641\u0639\u0629 \u0632\u064a \u062d\u0627\u0644\u062a\u0646\u0627 \u0627\u0644\u0646\u0647\u0627\u0631\u062f\u0647 \u0648 \u0639\u0648\u0627\u0642\u0628\u0647 \u0648\u062e\u064a\u0645\u0629 \u0645\u0646 \u062c\u0631\u0648\u062d \u0628\u0633\u064a\u0637\u0629 \u0627\u0644\u064a \u0627\u0635\u0627\u0628\u0627\u062a \u0639\u0645\u064a\u0642\u0629!<\/p>\n\n\n\n

!Cats high rise syndrome, feline patient represented with spinal fracture<\/a> and ruptured ureter<\/h2>\n\n\n\n
\"\"<\/figure>\n\n\n\n

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Cats can suffer serious injuries when falling from buildings, balconies, or windows. These accidents can lead to a variety of physical traumas, including fractures, internal organs damage, thoracic injuries, head trauma, appropriate emergency, detailed exam and veterinary care is crucial in improving survival rates and long-term recovery for feline patients.<\/p>\n\n\n\n

Case History<\/h3>\n\n\n\n

Sugar a 2 y old DSH cat represented with history of falling from high floor from balcony, and observed uncoordinated, paraplegic, dull, severe pain with 4th pain score.<\/p>\n\n\n\n

\u0634\u0648\u062c\u0631 \u0648\u0635\u0644 \u0642\u0633\u0645 \u0627\u0644\u0637\u0648\u0627\u0631\u0626 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u064a \u0641\u064a \u062d\u0627\u0644\u0629 \u0635\u0639\u0628\u0629 \u062c\u062f\u0627\u064b \u0645\u0646 \u0639\u062f\u0645 \u0627\u0644\u0625\u062a\u0632\u0627\u0646 \u0648 \u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0642\u062f\u0631\u0629 \u0639\u0644\u064a \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0646\u0635\u0641 \u0627\u0644\u0633\u0641\u0644\u064a \u0645\u0646 \u0627\u0644\u062c\u0633\u0645\u060c \u0643\u0644\u0647 \u062f\u0647 \u0645\u0635\u062d\u0648\u0628 \u0628\u0622\u0644\u0627\u0645 \u0634\u062f\u064a\u062f\u0629 \u062c\u062f\u0627\u064b \u0645\u0646 \u0623\u062b\u0631 \u0627\u0644\u0633\u0642\u0648\u0637!<\/p>\n\n\n\n

Physical examination<\/h3>\n\n\n\n

Revealed tachyarrhythmia, hyperventilation, distended urinary bladder with abdominal palpation with bladder expression it could by evacuated and examine the musculoskeletal system showed instability in the spine.<\/p>\n\n\n\n

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Neurological examination<\/h3>\n\n\n\n

Preforming full neurological exam of the cranial and peripheral reflexes revealed LMN injury.<\/p>\n\n\n\n

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Laboratory findings<\/h3>\n\n\n\n

CBC showed decreased red blood cells count and hemoglobin concentration revealing microcytic-hypochromic anemia and thrombocytopenia, consequence with leukocytosis.
Serum chemistry showed hyperglycemia, azotemia which is high blood urea nitrogen and high creatinine concentrations in blood in addition to electrolyte disturbance appear as high phosphorus.<\/p>\n\n\n\n

\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n<\/figure>\n\n\n\n

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Diagnostic imaging<\/h3>\n\n\n\n

Ultrasonography:<\/strong> A-FAST and T-FAST scans preformed and anechoic fluid observed in the cysto-colic window, uro-abdomen confirmed with sling the anechoic fluid.<\/p>\n\n\n\n

Radiography:<\/strong> Intestines with mixed opacities indicative of distention with ingesta and gases, Spinal fracture observed with distended urinary bladder and opacity in the abdomen.<\/p>\n\n\n\n

Revealing: Spinal fracture, Uro-abdomin, Constipation<\/a>.<\/p>\n\n\n\n

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Emergency surgical exploratory laparotomy<\/h3>\n\n\n\n

\ud83e\udde9Upon exploratory laparotomy to identify the cause of uroabdomen which was thought to be *ruptured bladder* it was due to ruptured ureter consequenced to the trauma.<\/p>\n\n\n\n

\ud83e\udde9The traumatized Ruptured Ureter led to persistent urine leakage into the abdomen which was due to ruptured ureter dealt with emergency nephrectomy.<\/p>\n\n\n\n

\ud83e\udde9Accumulation of wastes in the blood due to innervation injury to the bladder also desvasting uroabdomen led to azotemic status, metabolic acidosis and electrolyte disturbances, dealt to the following postoperative treatment plan.
<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

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<\/p>\n\n\n\n

Treatment plan<\/h3>\n\n\n\n

Vitamin B complex <\/strong><\/p>\n\n\n\n

To support the neurological injury.<\/p>\n\n\n\n

Kidney support <\/strong><\/p>\n\n\n\n

Essential amino acids as  L-Carnitine, L-Arginine, and Glutamine, promote the renal function and filtration process<\/a><\/p>\n\n\n\n

Phosphate binder <\/strong><\/p>\n\n\n\n

To trap the elevated cation in blood and controlling the hyperphosphatemia<\/p>\n\n\n\n

Furosemide <\/strong><\/p>\n\n\n\n

As a diuretic to flush the blood from the elevated nitrogenous metabolism byproducts and resolve the azotemic status<\/p>\n\n\n\n

Lactulose and rectal enemas <\/strong><\/p>\n\n\n\n

Helping the the first week in the constipation state resulted from colonic inertia due to the neurological injury of the spinal cord.<\/a><\/p>\n\n\n\n

Dexamethasone <\/strong><\/p>\n\n\n\n

As anti-inflammatory suppressing the leukocytosis state <\/p>\n\n\n\n

\u0628\u0637\u0644\u0646\u0627 \u0634\u0648\u062c\u0631 \u0643\u0645\u0644 \u0645\u0639\u0627\u0646\u0627 \u0628\u0639\u062f \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0648 \u0627\u0644\u0645\u0631\u0627\u0642\u0628\u0629 \u0641\u064a \u0648\u062d\u062f\u0629 \u0627\u0644\u0631\u0639\u0627\u064a\u0629\u060c \u0641\u064a \u062e\u0637\u0629 \u0627\u0644\u0639\u0644\u0627\u062c \u0643\u0627\u0646 \u0639\u0646\u062f\u0646\u0627 \u0645\u062c\u0645\u0648\u0639\u0629 \u0645\u0646 \u0627\u0644\u0641\u064a\u062a\u0627\u0645\u064a\u0646\u0627\u062a \u0648 \u0645\u0646\u0634\u0637\u0627\u062a \u0627\u0644\u0643\u0644\u064a \u0645\u0639 \u0627\u0644\u0645\u062d\u0627\u0644\u064a\u0644 \u0627\u0644\u0648\u0631\u064a\u062f\u064a\u0629 \u0648 \u0645\u062f\u0631\u0627\u062a \u0627\u0644\u0628\u0648\u0644\u060c \u0628\u0627\u0644\u0625\u0636\u0627\u0641\u0629 \u0625\u0644\u064a \u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u0625\u0644\u062a\u0647\u0627\u0628.<\/p>\n\n\n\n

Dr. Paws wanted to express deepest gratitude for the incredible care and compassion The whole team and specially Dr. Shimaa Ayman showed in saving Sugar\u2019s life. Your skill, dedication, and kindness made all the difference during such a critical time, Thanks so much. \ud83c\udf1f<\/strong><\/p>\n\n\n\n

\u0634\u0643\u0631 \u0648 \u062a\u0642\u062f\u064a\u0631 \u0648\u0627\u062c\u0628 \u0625\u0644\u064a \u0641\u0631\u064a\u0642 \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u064a \u0628\u0627\u0644\u0643\u0627\u0645\u0644 \u0648 \u0628\u0627\u0644\u0623\u062e\u0635 \u062f. \u0634\u064a\u0645\u0627\u0621 \u0639\u0644\u064a \u0627\u0644\u062a\u0641\u0627\u0646\u064a \u0648 \u0627\u0644\u062c\u0647\u062f \u0627\u0644\u0643\u0628\u064a\u0631 \u0648 \u0627\u0644\u0627\u062d\u062a\u0631\u0627\u0641\u064a\u0629 \u0627\u0644\u0627\u0633\u062a\u062b\u0646\u0627\u0626\u064a\u0629 \u0641\u064a \u062d\u0627\u0644\u0629 \u0634\u0648\u062c\u0631.<\/strong><\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

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