ADDISON – A1111001
Safe - 5-8-2017 Brooklyn Rescue: AnimalKind Please honor your pledges: http://animalkindny.org/
SAFE 5/8/17 **POSSIBLY HIT BY CAR** Young Kitty Addison Needs Follow Up Vet Care ASAP! @BACC .Poor tabby guy Addison needs follow up medical care as soon as possible for his fractured jaw and injured eyes.
Poor tabby guy Addison needs follow up medical care as soon as possible for his fractured jaw and injured eyes. This young kitty would be most comfortable in an experienced kitty home where he can relax and recover, though it is worth nothing that his current demeanor may be influenced by his current medical condition.
BROOKLYN CENTER
ADDISON – A1111001
MALE, BRN TABBY, DOMESTIC SH,3 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition INJ SEVERE Intake Date 05/04/2017, From NY 11433, DueOut Date 05/07/2017,
Medical Behavior Evaluation RED
Medical Summary DVM Intake Exam 5/4/17 Estimated age: ~3-4yrs, male Microchip noted on Intake? No History : Stray Subjective: Observed Behavior – QAR. Hissing and swatting on approach Evidence of Cruelty seen – No Evidence of Trauma seen – Yes Objective P = WNL R = WNL BCS 4/9 EENT: Buphthalmic left eye, non-visual; significant edema/conjunctivitis OD with hyphema, dried bloody nasal discharge, ears wnl Oral Exam: Mouth open with dried bloody saliva, mandibular symphyseal fracture PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male MSI: Ambulatory x 4, skin free of parasites, no masses noted, areas of thin/short hair coat, no palpable fractures CNS: mentation appropriate – no signs of neurologic abnormalities — significant head trauma but appears mentally appropriate, non-visual Assessment: Likely HBC, head trauma, mandibular fracture, injuries to both eyes Plan: Sedated with telazol 0.1ml IM, buprenex 0.32ml IM, LRS 100ml SQ and convenia 0.35ml SQ. Cleaned discharge from face Prognosis: Good with appropriate management- consider surgical repair of jaw and bilateral enucleation SURGERY: Temporary waiver due to severity of injuries
Weight 7.4
Medical::
DVM Intake Exam 5/4/17
Estimated age: ~3-4yrs, male
Microchip noted on Intake? No
History : Stray
Subjective:
Observed Behavior – QAR. Hissing and swatting on approach
Evidence of Cruelty seen – No
Evidence of Trauma seen – Yes
Objective
P = WNL R = WNL BCS 4/9
EENT: Buphthalmic left eye, non-visual; significant edema/conjunctivitis OD with hyphema, dried bloody nasal discharge, ears wnl
Oral Exam: Mouth open with dried bloody saliva, mandibular symphyseal fracture
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Male
MSI: Ambulatory x 4, skin free of parasites, no masses noted, areas of thin/short hair coat, no palpable fractures
CNS: mentation appropriate – no signs of neurologic abnormalities — significant head trauma but appears mentally appropriate, non-visual
Assessment: Likely HBC, head trauma, mandibular fracture, injuries to both eyes
Plan: Sedated with telazol 0.1ml IM, buprenex 0.32ml IM, LRS 100ml SQ and convenia 0.35ml SQ. Cleaned discharge from face. Rec bup 0.32ml q12 x 5 days
Prognosis: Good with appropriate management- consider surgical repair of jaw and bilateral enucleation
SURGERY: Temporary waiver due to severity of injuries
05/05/17:
S/O: QAR. No interest in food.
INTEG: Significant swelling of face – unchanged from yesterday
NEURO: Mentally appropriate
A: Mandibular symphyseal fracture, likely hit by car
P: Continue with pain management
05/07/17:
Noted to not be eating on rounds.
S/O: QAR. Resting in back of cage, responsive when talked to. Food untouched. Allows handling when covered by a towel – hisses a bit but does not strike or bite.
ORAL: Not assessed due to pre-existing mandubular fracture.
EENT: OS – crusted shut with serosanguineous discharge evident. OD – buphthalmic, with diffuse corneal edema, surface of cornea appears dry. Mod dried blood around eye. No nasal discharge or sneezing, no congestion.
MS: Amb x 4, no lameness.
INTEG: Ocular lesions as described. Mild to mod swelling over left side of face. Difficult to fully evalutae awake. Decreased skin turgor.
NEURO: No obvious mentation abnormalities or neurologic deficits with the exception of blindness.
A: Young adult cat with likely head trauma, eye injuries, and mandibular fracture. Dehydration 7-10%. Anorexia likely due to jaw fracture.
P: Sedate today to clean face and eyes, apply eye medications.
Telazol 0.1 ml IM administered 12:10 pm.
Flushed OD with sterile saline to remove crusting and debris. Applied Erythromycin ointment. Due to cat’s inability to completely close this eye, a temporary tarsorrhaphy was performed with one simple interrupted suture, 4-0 vicryl, approx 5 mm from medial canthus. This closed the majority of the eye, allowing a small space laterally where eye medications can still be administered.
Cleaned away crusting OS with sterile saline. Mod to severe chemosis, only a portion of globe is visible but appears intact, with hazy corneal opacification. Flushed OS with sterile saline and applied Erythromycin ointment.
Cleaned dried blood away from nares.
Administered 125 ml LRS SQ. Continue 100 ml LRS SQ q 24 hours x 3 days.
Apply Ofloxacin drops OU BID x 7 days.
Fair prognosis with appropriate management. OS appears intact and may be able to preserve vision. OD is likely to be blind, although eye may be salvageable as long as infection and inflammation can be controlled.
Behavior::
KNOWN HISTORY:
Addison was brought into our care center as a stray, so there is no known history available.
MEDICAL BEHAVIOR:
Hissing and swatting on approach
ENRICHMENT NOTES:
Lying in back of kennel with a low body. He looks up as the kennel door opens tolerates petting along his head and body while becoming tense, turning his head around to watch my hand as it passes along his back. Nervous and unsure – may be uncomfortable due to injury
EVALUATION:
Cage Condition: Cage is neat
Reaction to assessor: Addison remains low in the back of the kennel as assessor approaches
Reaction when softly spoken to: Addison’s ears shift forward as assessor speaks to him
Reaction to cage door opening: Addison remains in low body position without further reaction
Reaction to touch: Addison tolerates petting along his head and body, turning his head to watch the assessor’s hand
ACTIVITY LEVEL: Mellow
VOCAL: Quiet
CHARACTER TYPE: Timid, Skittish, Independent
POTENTIAL CHALLENGES:
– Fearful – Addison has displayed fearful behavior during their stay in the care center and has displayed distance-increasing behavior with extended handling. Fear aggression can occur when a cat perceives a threat and may escalate if they cannot escape. A fearful cat will feel more relaxed when given options, so provide him/her with the chance to move closer, investigate, or interact with you. Be sure to offer incentive such as treats or play time whenever the cat makes a small positive step. Please speak to an adoption counselor for additional information on methods to desensitize your cat to their fear stimulus.
BEHAVIOR SUMMARY:
Please note that this cat is being treated for a medical condition at the time of evaluation. It is difficult to determine at this time how the medical condition may be affecting the behavior.
RECOMMENDATIONS:
– Experienced cat parent – Addison tolerates attention and petting but may be fearful or stressed in the shelter. We are unsure how much Addison’s injury is affecting the behavior that he is displaying in our care. Since Addison has remained timid and nervous in our care center we recommend he goes to a home with experienced cat parents.
Enrichment::
05/07/17:
Lying in back of kennel with a low body. He looks up as the kennel door opens tolerates petting along his head and body while becoming tense, turning his head around to watch my hand as it passes along his back. Nervous and unsure – may be uncomfortable due to injury. Sprayed feliway.
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View all entries in: Safe Cats 2017-05