BASIL – A1103881
Safe - 5-13-2017 Staten Island Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
SAFE 5/13/17 !Basil – YOUNG KITTY Needs 6 Month Rabies Quarantine @ SI ACC — Basil was brought in with other kitties. Basil came in with a bite of unknown origin and since we do not have proof of a prior rabies vaccination, he must have a 6 month quarantine. He is a sweet boy and we hope he can be quarantined in a home environment. He did arrive with a kitty cold and that has been treated
STATEN ISLAND CENTER
BASIL – A1103881
**DOH – V HOLD**
NEUTERED MALE, BLACK, DOMESTIC SH MIX,3 yrs
OWNER SUR – EVALUATE, HOLD FOR DOH-V Reason HOARDING
Intake condition UNSPECIFIE Intake Date 04/11/2017, From NY 10469, DueOut Date 04/11/2017, I came in with Group/Litter #K17-093666.
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: Approx 3 yo MN DSH Microchip noted on Intake? scan positive ( 985112008182123) Relaxed and easy to handle. History : owner surrender Subjective: Observed Behavior – tolerated handling well Evidence of Cruelty seen – no Evidence of Trauma seen – wound at right forelimb Objective Temp= 102.6, BCS 5/9 EENT: OS- yellow mucoid discharge, OD- clear; AU- brown debris, nasla congestion and mild mucoid discharge Oral Exam: mild dental calc PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, mildly increased respiratory rate ABD: Non painful, no masses palpated U/G: MN, tattoo seen MSI: Ambulatory x 4, skin free of parasites, no masses noted, scab at top of head, open puncture wounds at right carpus and bleeding, older puncture wounds at right elbow CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: puncture wounds- R/O bite wounds vs trauma vs other nasal and ocular discharge- R/O URI vs other mild tachypnea- R/O stress vs infectious vs other Plan gave convenia injection 0.44 mls SQ (x) clipped and cleaned wounds start erythromyin OU BID x 1 week start doxycycline 44 mg PO SID x 10 days move to isolation, monitor respiration Prognosis: fair
Weight 9.6
4/11/17
DVM Intake Exam
Estimated age: Approx 3 yo MN DSH
Microchip noted on Intake? scan positive ( 985112008182123)
Relaxed and easy to handle.
History : owner surrender
Subjective:
Observed Behavior – tolerated handling well
Evidence of Cruelty seen – no
Evidence of Trauma seen – wound at right forelimb
Objective
Temp= 102.6, BCS 5/9
EENT: OS- yellow mucoid discharge, OD- clear; AU- brown debris, nasla congestion and mild mucoid discharge
Oral Exam: mild dental calc
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, mildly increased respiratory rate
ABD: Non painful, no masses palpated
U/G: MN, tattoo seen
MSI: Ambulatory x 4, skin free of parasites, no masses noted, scab at top of head, open puncture wounds at right carpus and bleeding, older puncture wounds at right elbow
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment:
puncture wounds- R/O bite wounds vs trauma vs other
nasal and ocular discharge- R/O URI vs other
mild tachypnea- R/O stress vs infectious vs other
Plan
gave convenia injection 0.44 mls SQ (x)
clipped and cleaned wounds
start erythromyin OU BID x 1 week
start doxycycline 44 mg PO SID x 10 days
move o isolation, monitor respiration
Prognosis: fair
4/18/17
Subjective:
recheck exam
Objective
BCS 5/9
EENT: OU- mild clear mucoid discharge; AU- brown debris, no nasal discharge seen
Oral Exam: mild dental calc
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: MN, tattoo seen
MSI: Ambulatory x 4, skin free of parasites, no masses noted, scab at top of head, wounds at right carpus covered with dry scab, no discharge and no swelling
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment:
puncture wounds- R/O bite wounds vs trauma vs other; healing
nasal and ocular discharge- R/O URI vs other; improved
Plan
finish course of doxycycline
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