AMY – A1084999
Gone - 8-12-2016 Manhattan
GONE 8/12/16 Meet Amy: Amy is a lovely gal in diabetic crisis. She is NOT ketotic but needs insulin, fluids, and monitoring. Amy needs to find placement by 7pm today, 8/11. Please help this beautiful girl today @MACC!
AMY A1084999 10Y GRAY DSH F
STRAY INTAKE: 8/11/2016
Initial Exam (8/11/16)
Estimated age: 8-12 years
Fleas: No flea dirt.
Hx: Was a neighborhood cat, is now weak and cannot walk
S: Laterally recumbent, alert. Looks around and occasionally vocalizes, but allows all handling.
O: QAR, decreased skin turgor – estimated 8-10% dehydrated. Muscle wasting but BCS 5/9, MMs pink and tacky.
EENT: No discharge OU, AU. Tip of nose is extremely crusty and ulcerated. Food in mouth, appears to be moderate tartar and gingivitis.
PLNs: Not enlarged.
H/L: NSR, NMA. Eupnic, quiet lung sounds.
Abd: Soft, full stomach, no pain on palpation, no masses palpated.
M/S/I: No fractures or wounds noted, laterally recumbent.
UG: Female. Bladder large but soft.
Abd rads – no significant findings. Colon and stomach are full of food. Kidneys are WNL. No foreign bodies noted.
Chem – severe hyperglycemia (533), azotemia (125), hyperphosphatemia (8.7). Elevated total protein (10.7) and globulins (7.7), normal albumin (3). Hypercholesterolemia (241). Severe hypernatremia (>180), hyperchloremia (146)
CBC – hemoconcentration (53.5%), Leukocytosis (28.93), neutrophilia (25.69), bands suspected.
Combo test – neg
1. Diabetic crisis, not ketotic
Short-term prognosis: Fair with treatment. Grave without treatment.
1. Place IVC and run IVF at 20 ml/hr for 6 hours, then reassess.
2. Antibiotics – Convenia 0.5 ml SQ and Baytril 22.7 mg/ml 1.1 ml SQ SID x5 days
3. Insulin – Vetsulin 1 U BID SQ
Amy has not had a behavior evaluation yet but her medical behavior is green (tolerates all handling).
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View all entries in: Gone Cats 2016-08