BENTLEY – 24867
Safe - 4-22-2018 Manhattan Rescue: SOAR Please honor your pledges: http://www.startingoveranimalrescue.org/
SAFE 4/22/18 MY FAVE! STILL HERE! SO SWEET! All Class, Our BENTLEY Girl! Hyperthyroid BEGINNER Sweet Senior Tortie NEEDS CHRONIC TREATMENT ASAP!12 year old BENTLEY lost her home when her owner passed away. She is docile and friendly and would love a new furever home asap where she can get some TLC.
MANHATTAN CENTER
Bentley 24867
Care Center Location: Manhattan
ZIP Code From: 10065
Intake Type: Stray
Medical Behavior: Green
Age: 12 years
Sex: Female
Weight: 8 lbs
BEHAVIOR:
KNOWN HISTORY:
Bentley was brought in without information on her behavior history or tendencies in their previous home.
MEDICAL BEHAVIOR:
04/10/18
Observed Behavior -docile, friendly, allows all handling
ENRICHMENT NOTES:
Resting in top cubby, soft eyes and body. Lay in place when door opened, leaned into pets, purred, rolled over on side, kneaded in place. Ate offered treats after door closed.
Cage Condition:
Cage is neat
Reaction to assessor:
Bentley was lying down and makes soft eye contact with the assessor.
Reaction when softly spoken to:
Bentley approaches the front and meows. She sniffs around the front before she rubs her body onto the cage door.
Reaction to cage door opening:
Bentley remains soft and relaxed.
Reaction to touch:
Bentley accepts petting and begins to purr. She leans in for rubs and eats her food while the assessor pets her all over.
Reaction to being picked up:
Bentley is a bit tense during pick up, but she remains calm when held.
ACTIVITY LEVEL:
Moderate
VOCAL:
Quiet
CHARACTER TYPE:
Social
Calm
Sweet
BEHAVIOR DETERMINATION:
Beginner
Behavior Asilomar
H – Healthy
BEHAVIOR SUMMARY:
Bentley interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
MEDICAL:
Animal ID
Name
Type
Mixed
Color(1)
Color(2)
Gender
24867
Bentley
Cat
Yes
Tortoiseshell
Black
Female
Spayed / Neutered
Age
Primary Microchip #
Rabies Tag
Weight
Spay / Neuter Due Date
Temperature
No
12 Years
981020025279643
11 lbs 4 oz
Veterinary Clinic Software Record #:
Weight: 11 lbs 4 oz
Incoming Agency:
Date of Weighing: 4/14/2018
Date Spayed / Neutered:
Schedule Surgery Date:
Stitches Removal Date:
Clinic Name:
Previously Spayed / Neutered: No
General Vet Notes:
Previous Medical Details:
Known Allergies or Medical Conditions:
Feeding Requirements:
Indemnities/Waivers:
Medical Notes
Notes
Date
No Medical Notes Stored
Vet Treatments
Date Administered
Vet Treatment Type
Treatment Result
Administered by External Vet
4/9/2018
Microchip Implantation
4/9/2018
Gabapentin (100mg Capsule)
4/9/2018
Internal Parasite Treatment – Pyrantel
4/9/2018
Flea/Tick Treatment – Paradefense
4/9/2018
FeLV/FIV Snap
Negative
4/9/2018
Fvr-Cp 1 Of 2
4/10/2018
Rabies
Vet Treatments Due
Date Due
Vet Treatment Type
4/23/2018
Internal Parasite Treatment – Pyrantel
4/23/2018
Fvr-Cp 1 Of 2
4/10/2019
Rabies
Medications
Medication
Amount Dispensed
Frequency
Date From
Date To
Doses Administered
Vet Name
Notes
Methimazole 5 mg
0 tablets
1, 2 times every 1 day(s)
15-Apr-2018
Indefinite
0
VET 991416
1 tab PO BID
Drug Usage
No drugs administered to this animal.
19-Apr-2018
Progress Exam
Vet Notes: 9:09 AM
Progress exam
History: intake 4/10-geriatric, cachexia, dental disease. Scheduled for BW but never performed because she went to foster. Foster reports she is polydipsic and ravenous all the time. She also has had several periods where she vomits 2-4 times in a row. Returned to BACC 4/14 for exam. Gave SQ LRS and scheduled for intake 4/15.
4/15: started methimazole 5mg PO BID
CBC-wnl
Chem-wnl
T4-moderate to severe elevation 10.9 (0.8-4.7)
Subjective: BARH. Eating well-likes a/d and baby food. No csvd. Normal U (polyuric) and bm noted yesterday but not this morning. Stable and doing well.
Objective
BCS 3/9
P=wnl
R=wnl
EENT: eyes clear with nuclear sclerosis, ears clean, no nasal or ocular discharge noted
Oral Exam: oligodontia, no oral lesions
PLN: No enlargements noted
H/L: NMA, RR, lungs C&E
ABD: SNP, NMP
U/G: FI, no MGTs, no vulvar d/c
MSI: Ambulatory x 4, skin free of parasites, no masses noted, cachexia, dull haircoat, underweight
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment:
Hyperthryroidism
Geriatric
Dental disease
Cachexia
Underweight
PU/PD
Prognosis: Fair to poor longterm prognosis-will need chronic treatment
Plan:
CTM while at BACC
Continue methimazole 5mg PO BID
4/29-recheck BW to monitor renal values and T4 level (2 weeks from start of medication)
Will need lifelong treatment, often an underlying heart condition and renal disease are concurrent with hyperthyroidism-rec echocardiogram and AUS
VET 991416
18-Apr-2018
Progress Exam
Vet Notes: 9:02 AM
Hyperthyroid – monitor appetite/vomiting/hydration
History: intake 4/10-geriatric, cachexia, dental disease. Scheduled for BW but never performed because she went to foster. Foster reports she is polydipsic and ravenous all the time. She also has had several periods where she vomits 2-4 times in a row. Returned to BACC 4/14 for exam. Gave SQ LRS and scheduled for intake 4/15.
4/15: started methimazole 5mg PO BID
CBC-wnl
Chem-wnl
T4-moderate to severe elevation 10.9 (0.8-4.7)
S/O: BARH. Attention seeking, allows all petting but resistant to restraint. Eating well, large amount of urine. Small amount of normal stool
EENT: Nuclear sclerosis, no ocular or nasal discharge, missing most teeth
HL: Normal thoracic auscultation, no sneezing, normal RR/RE
ABD: Soft, non tender
INTEG: Full coat
MS: Ambulatory x 4, thin BCS, muscle wasted
UG: Female
Assessment:
Hyperthryroidism
Geriatric
Dental disease
Cachexia
Underweight
PU/PD
Hx Vomiting-resolved
Prognosis: Fair to poor longterm prognosis-will need chronic treatment
Plan:
CTM while at BACC
Continue methimazole 5mg PO BID
4/29-recheck BW to monitor renal values and T4 level
Will need lifelong treatment, often an underlying heart condition and renal disease are concurrent with hyperthyroidism-rec echocardiogram and AUS
VET 990844
17-Apr-2018
Progress Exam
Vet Notes: 8:41 AM
Foster intake
History: intake 4/10-geriatric, cachexia, dental disease. Scheduled for BW but never performed because she went to foster. Foster reports she is polydipsic and ravenous all the time. She also has had several periods where she vomits 2-4 times in a row. Returned to BACC 4/14 for exam. Gave SQ LRS and scheduled for intake 4/15.
4/15: started methimazole 5mg PO BID
CBC-wnl
Chem-wnl
T4-moderate to severe elevation 10.9 (0.8-4.7)
Subjective: BARH. No csvd. Friendly and allows PE but does not like restraint. Normal bm and u in litter box. Good appetite.
Objective
BCS 3/9
P=200bpm
R=wnl
EENT: eyes clear with nuclear sclerosis, ears clean, no nasal or ocular discharge noted
Oral Exam: oligodontia, no oral lesions
PLN: No enlargements noted
H/L: NMA, RR, tachycardia, lungs C&E
ABD: SNP, NMP
U/G: FI, no MGTs, no vulvar d/c
MSI: Ambulatory x 4, skin free of parasites, no masses noted, cachexia, dull haircoat, underweight
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment:
Hyperthryroidism
Geriatric
Dental disease
Cachexia
Underweight
PU/PD
Hx Vomiting-resolved
Prognosis: Fair to poor longterm prognosis-will need chronic treatment
Plan:
CTM while at BACC
Continue methimazole 5mg PO BID
4/29-recheck BW to monitor renal values and T4 level
Will need lifelong treatment, often an underlying heart condition and renal disease are concurrent with hyperthyroidism-rec echocardiogram and AUS
Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
16-Apr-2018
Progress Exam
Vet Notes: 9:53 AM
History: intake 4/10-geriatric, cachexia, dental disease. PU/PD/PP at foster with several episodes of V. Returned to BACC 4/14 for exam. Gave SQ LRS and scheduled for intake 4/15. BW on 4/15 showed hyperthyroidism
Subjective: Attention seeking, goes to front of cage. purring. BARH. No csvd. U++ in litter box but no bm. ate some wet food overnight
Objective
BCS 3/9
P=~220 bpm
R=wnl
EENT: eyes clear with nuclear sclerosis, ears clean, no nasal or ocular discharge noted
Oral Exam: resistant to oral exam; oligodontia, no oral lesions
PLN: No enlargements noted
H/L: NMA, RR, tachycardia, lungs CE
ABD: SNP, NMP
U/G: FI, no MGTs, no vulvar d/c
MSI: Ambulatory x 4, skin free of parasites, no masses noted, cachexia, dull haircoat, underweight
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment:
Hyperthryroidism
Geriatric
Dental disease
Cachexia
Underweight
PU/PD
Vomiting
Prognosis: Fair to poor longterm prognosis-will need chronic treatment
Plan:
CTM while at BACC
Continue methimazole 5mg PO BID
4/19-recheck BW to monitor renal values and T4 level
Will need lifelong treatment, often an underlying heart condition and renal disease are concurrent with hyperthyroidism-rec echocardiogram and AUS
VET-P 991513
15-Apr-2018
LVT-E 991059
15-Apr-2018
Blood Work Interpretation
Vet Notes: 9:03 AM
CBC-wnl
Chem-wnl
T4-moderate to severe elevation 10.9 (0.8-4.7)
See progress exam for plan
VET 991416
15-Apr-2018
Foster Intake
Vet Notes: 9:02 AM
Foster intake
History: intake 4/10-geriatric, cachexia, dental disease. Scheduled for BW but never performed because she went to foster. Foster reports she is polydipsic and ravenous all the time. She also has had several periods where she vomits 2-4 times in a row. Returned to BACC 4/14 for exam. Gave SQ LRS and scheduled for intake 4/15.
Subjective: BARH. No csvd. U++ in litter box but no bm. Eating well and appears PD. Will have bloodwork today. No csvd.
Objective
BCS 3/9
P=~220 bpm
R=wnl
EENT: eyes clear with nuclear sclerosis, ears clean, no nasal or ocular discharge noted
Oral Exam: oligodontia, no oral lesions
PLN: No enlargements noted
H/L: NMA, RR, tachycardia, lungs CE
ABD: SNP, NMP
U/G: FI, no MGTs, no vulvar d/c
MSI: Ambulatory x 4, skin free of parasites, no masses noted, cachexia, dull haircoat, underweight
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment:
Hyperthryroidism
Geriatric
Dental disease
Cachexia
Underweight
PU/PD
Vomiting
Prognosis: Fair to poor longterm prognosis-will need chronic treatment
Plan:
CTM while at BACC
CBC-wnl
Chem-wnl
T4-moderate to severe elevation 10.9 (0.8-4.7)
Start methimazole 5mg PO BID (first dose given)
4/19-recheck BW to monitor renal values and T4 level
Will need lifelong treatment, often an underlying heart condition and renal disease are concurrent with hyperthyroidism-rec echocardiogram and AUS
VET 991416
14-Apr-2018
DVM Intake
Vet Notes: 8:19 PM
Came in after hours – reports of vomiting.
S/O) BAR. Mild dehydration.
MM pk. Marked ddz – tooth loss.
Abd: SNP.
Wt= 7.68 – prev 8 lbs
A) Vomiting reported
12 yo FS DSH
P) SQF 100 cc.
Monitor for v overnight.
DVM intake tomorrow.
VET-P 990587
12-Apr-2018
10-Apr-2018
Spay-Neuter Waiver Documentation
Vet Notes: 12:24 PM
[Spay/Neuter Waiver – Age]
It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.
LVT 991415
10-Apr-2018
DVM Intake
Vet Notes: 12:15 PM
DVM Intake Exam
Estimated age:approx 12 years
Microchip noted on Intake?
Microchip Number (If Applicable):
History :owner passed away
Subjective:QAR
Observed Behavior -docile, friendly, allows all handling
Evidence of Cruelty seen -n
Evidence of Trauma seen -n
Objective
BCS 5.5/9
EENT: OU-open and clear, immature cataracts, ears clean, no nasal or ocular discharge noted
Oral Exam:mm pk/pigmented, moist; CRT <2 sec; oligodontia, teeth present in upper R quandrant
PLN: No enlargements noted
H/L: eupnic, clear lung sounds, tachycardia (HR 180), no murmurs/arrhythmias
ABD: soft, nonpainful, no palpable abnormalities
U/G: female, no spay scar or tattoo noted
MSI: Ambulatory x 4, skin free of parasites, no masses noted, slightly dull hair coat, mild muscle wasting along spine
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal:grossly normal
Assessment
1. Geriatric
2. Dental disease
3. Mild muscle wasting
4.
Prognosis:fair
Plan:
-CBC/chem/T4
-monitor appetite, overall health at MACC
SURGERY:permanent waiver due to age
VET 991382
9-Apr-2018
LVT Intake
L V T Notes: 12:31 AM
BAR
allowed handling
scan negative
approx 12 yrs old
female cat
geriatric
heavy tartar, gingivitis
missing all k9s except upper rt
clean EEN
clean coat
mild dehydration
BCS 4/9
AMB x 4
NOSF
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View all entries in: Safe Cats 2018-04