BEN – A1067118
Safe - 3-23-2016 Brooklyn
SAFE 3/23/16 Ben has been here since the 9th and has had intermittent diarrhea and vomiting, as well as not gaining weight. We did bloodwork today and it shows he is anemia (decreased red blood cells) and his albumin (a protein) is very low. He appears better than these values would have us believe, but he really needs to go to an outside vet for further workup asap. PLEASE HELP HIM TODAY!
BEN – A1067118
MALE, GRAY TABBY, DOMESTIC SH MIX,4 mos
STRAY – STRAY WAIT, HOLD FOR ARRESTED Reason OWN ARREST
Intake condition UNSPECIFIE Intake Date 03/09/2016, From NY 11420, DueOut Date 03/16/2016,
Medical Behavior Evaluation GREEN
Medical Summary Scan negative M; 4 MO; 3.3 LB Purring; curious and head butting; very easy to handle Underweight Eating food presented well EEN clear Skin and coat clear BARH
Our enrichment facilitator has interacted with Ben and at the time he was calm and relaxed at the front. Ben solicits attention and rolls over with his tail up.
Reaction to assessor: Ben does not come to front but looks at you calm and relaxed
When spoken quietly: Ben comes to the front of cage soliciting attention
Reaction to door cage opening: Ben remains soft and relaxed
Reaction to touch: Ben solicits petting and attention
Try picking cat up: Ben is tolerant of this type of handling
Behavior Determination: Beginner
At the time of the assessment Ben was displaying friendly behavior, comes to the front of the kennel, interacts with the assessor, solicits attention, is easy to handle and tolerates all petting. Ben is displaying behavior appropriate for a beginner cat owner.
Calm and relaxed at the front. Solicits attention. Sweet, rolls over. Tail up. Allows petting all over
VC – MONITOR FOR VOMITING/DIARRHEA
S/O: Kitten is BARH; mm-pink, moist
No V/D noted
Ran bloodwork (see below)
CT – Neg.
PCV/TP – 18/6.2
A: Anemia, Hypoalbuminemia, Underweight, V/D, Inappetence DDx: PLE, PLN, Open
P: Recommend rescue placement; will need further work-up to establish cause of anemia/hypoalbuminemia including but not limited to U/A, urine protein:creatinine ratio, GI panel, etc.
Variable, most likely guarded
ProCyte Dx (March 22, 2016 1:02PM) – ABNORMAL VALUES ONLY
HCT 16.2% (30.3-52.3)
RBC 4.33 M/uL (6.54-12.20)
HGB 5.8g/dL (9.8-16.2)
RETIC 111.3 (3.0-50.0)
Catalyst Dx (March 22, 2016 12:51PM) – ABNORMAL VALUES ONLY
ALB 1.9g/dL (2.2-3.9)
BUN 14mg/dL (16-33)
TP <0.5g/dL (5.2-8.2)
Note: Kitten appears better than his lab values would have us believe, but should still go to a veterinarian asap
S/O: IN THE AM, ACO EXPRESSED CONCERNS THAT PATIENT HAD VOMITED SEVERAL TIMES OVERNIGHT AS WELL AS HAD A LARGE AMOUNT OF DIARRHEA IN LITTER PAN.
BAR ON PRESENTATION, APPROACHED EDGE OF CAGE WHEN OPENED
BCS = 2-3/9
MM = LIGHT PINK, SL. TACKY
H/L = NMA, NSR
APPEARS TO HAVE REGURGITATED UNDIGESTED DRY FOOD IN CAGE
LIQUID TAN STOOL IN LITTERPAN
MOVED PATIENT TO MEDICAL
GAVE APPROX. 50-75 ML OF 0.9% NaCl SQ
GAVE 0.15 ML CERENIA, SQ
FASTED PATIENT THROUGH THE AFTERNOON, THEN FED CANNED I/D – ATE IN SMALL AMOUNTS
WILL CONTINUE TO MONITOR
CONTINUE FLUIDS 50 ML SQ SID X 3 DAYS
CONTINUE CERENIA SID X 3 DAYS
EXTEND METRONIDAZOLE BID X 2 DAYS
RECHECK FOR VOMITING AND DIARRHEA TOMORROW
VC: Recheck diarrhea, and hard palate wound.
S/O: BAR, attention seeking. App +. Hard palate abrasion present, mocosal margins are shrinking, healing well, no signs of infection. Hydrated, moist MM. ~ BCS 3/9. Normal urine in box, no stool present
A: Underweight, resolving hard palate wound
P: Continue metronidazole, recheck last day of treatment.
VC: Monitor for V/D
S/O: BARH, attention seeking, mild diarrhea, no vomit in kennel. Hard round substance adhere to roof of mouth, removed w/ gentle pressure. Object, possible large scab, smelled of bacteria, 3mm superficial wound on hard palate.
A: Hard palate wound, diarrhea
P: Start metronidazole x 5 days, recheck in 3
3.64 lbs (reflects wt gain of 0.34lbs)
VC – MONITOR FOR VOMITING AND DIARRHEA, ONE EPISODE NOTED 3/15 BY ACO
S/O: Kitten is BARH, resting in back of cage but jumps and to greet when standing in front
BCS 3/9 (on the thin side)
Abdomen palpates soft and non-painful
Small amount of vomit (digested food) on paper and blanket and soft formed stool in litterbox
A: Vomiting and Soft Stool; On the thin side, but gaining weight
P: Give Cerenia during PM treatments today; start on Panacur and Ponazuril; recheck tomorrow
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For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected] Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
View all entries in: Safe Cats 2016-03