BISCOTTI – 14769
Safe - 1-18-2018 Manhattan
SAFE 1/18/18 Meet Biscotti! This super cute kitten has an obstruction could really use some help @MACC
MANHATTAN CENTER
Biscotti 14769
Care Center Location: Manhattan
ZIP Code From: 10475
Intake Date: 11/27/17
Intake Type: Stray
Medical Behavior: Green
Age: 5 months
Sex: Male
Weight: 3 lbs 12.8
Medical:
16-Jan-2018
Tech Exam
L V T Notes: 9:39 AM
Biscotti was scheduled for an AM Tx of Simbadol (1.8 mg/mL)
Gave 0.25 mL from bottle number 52 at 8:30 AM
15-Jan-2018
Tech Exam
L V T Notes: 8:59 AM
Biscotti was scheduled for an AM tx of Simbadol 1.8mg/mL. Gave 0.25mL SQ at 8:19am from bottle #52
Palpation of abdomen reveals a medium to large bladder. Patient is able to express bladder.
14-Jan-2018
Progress Exam
Vet Notes: 9:39 AM
Return from foster due to urinary blockage; signs started on 1/9 and was seen for recheck, bladder was large but soft and was able to express urine; given simbadol and sent back with foster; presented again on 1/13 and was noted to be completely blocked on 1/13 am; he was sedated at that time and the obstruction was relieved and u-cath secured, however he removed it later in the day but was noted to be urinating well; current medications include onsior and prazosin
S/O
-QAR, straining in litter box this morning; several small urinations in box
-mm pk, moist; CRT <2 sec
-no nasal discharge or sneezing
-OU: open and clear
-eupnic
-abdomen distended, bladder moderately sized and soft but uncomfortable
A
1. Urinary obstruction, FLUTD; possible reblockage
P
-gave 0.25 ml simbadol SQ, was noted to be urinating and more comfortable after administration; continue SID x 3 days
-recommend u/a to idexx
-recommend prescription urinary diet only
-monitor for urination, if uncomfortable or straining with no production, then will sedate to replace u-cath
14-Jan-2018
Tech Exam
L V T Notes: 9:28 AM
Biscotti was scheduled for an AM Simbadol 1.8mg/mL TX. Gave 0.25mL SQ at 8:32am from bottle #52
13-Jan-2018
13-Jan-2018
L V T Notes: 4:44 PM
Pulled out urinary catheter at appoximately 2:45pm
was able to express bladder at that time
Have check and expressed bladder 2 times subsequent to him pulling out his urinary catheter
13-Jan-2018
L V T Notes: 1:47 PM
Urinalysis
BLD/HGB 4+
BIL neg
UBG normal
KET neg
GLU 1+
PRO 3+
NIT
LEU Neg
pH 6
13-Jan-2018
L V T Notes: 1:36 PM
Per Dr. 1445
Administered 1 ml propofol IV to induce
0.2ml Propofol given every 5-8 min
Total Propofol given over course of procedure was 2.3 ml
placed on flow by O2 and pulseox monitor
Dr. 1445 unblocked with a 22 gauge catheter and then placed 3.5 French red rubber urinary catheter
Flushed with NaCL until clear
Secured using 2-0 PDS
and connected to urine collection set
Woke up uneventfully
13-Jan-2018
Progress Exam
Vet Notes: 1:02 PM
S/O: Bladder large, firm, unable to express urine.
A: Urinary obstruction
P: IV cath already in place. Propofol to effect for induction, maintenance on isoflurane. Obstruction relieved using 22G catheter (no tom kat caths in hosp). 3.5F red rubber urinary catheter placed. Bladder flushed copiously until urine clear. Ucath sutured in place using 2-0 PDS.
1. LRS @ 6ml/hr as previously
2. Check ucath q6hrs
3. Quantify urine BID
4. Continue w/ prazosin as previously prescribed
13-Jan-2018
L V T Notes: 11:10 AM
palpated bladder which is distended and hard
tried to express but was unable to
12-Jan-2018
Progress Exam
Vet Notes: 5:00 PM
5pm reduced ivf to 6ml/ml overnight (recc increase tomorrow to 100
partially expressed bladder, good stream
12-Jan-2018
Tech Exam
L V T Notes: 10:14 AM
20g LFL IVC placed. LRS running at 10ml/hr.
Two view abdominal radiographs taken.
Blood sample obtained for CBC/chemistry in house using a 23g butterfly set.
12-Jan-2018
Blood Work Interpretation
Radiograph Review
Vet Notes: 9:58 AM
rads: no stones seen
bloodwork : bun 33 wnl creat high at 2.3, otherwise unremarkable
9-Jan-2018
Foster Exam
Vet Notes: 5:00 PM
Recheck from foster, he has been straining to defecate in the litter box through the day with no production and has been vocalizing in litter box; otherwise he has a great appetite and continues to be very active; diagnosed with URI on 1/3 and started on doxycycline
S/O
-BAR, docile, allows all handling
-mm pk, sl tacky; CRT <2 sec
-mild mucoserous nasal discharge
-OU: open and clear
-eupnic, heart/lungs WNL
-abdomen feels slightly bloated but soft; bladder mid sized and soft, able to express small amount of urine manually and it appeared clear/yellow on the table
-no fecal material palpable in colon or present on rectal exam
-no rectal irritation noted
A
1. URI, active
2. Straining in box-r/o diarrhea vs straining to urinate vs other
P
-gave 100 ml SQF
-dewormed with pyrantel
-simbadol 0.25 ml SQ
-fortiflora, 1 packet daily for 7 days
-discussed most likely case is that he may be developing diarrhea and feels like he needs to go despite no fecal production; although it is unlikely due to his age, I cannot rule out straining to urinate and discussed with foster that if at any time, she feels that he is straining to urinate without production, he should be brought back to MACC immediately
3-Jan-2018
Foster Exam
Vet Notes: 4:20 PM
s/o:
purulent nasal dc
os epiphora
lungs clear, bar
a;
uri
P:
doxycycline 0.6ml sid x 10d
15-Dec-2017
8-Dec-2017
Foster Exam
Vet Notes: 5:12 PM
[DVM Intake]
DVM Intake Exam
Estimated age:
Microchip noted on Intake?
History : Currently being tx for URI and ear mites. Last day of all treatments was today. Foster report v+ last night and today, decreased appetite, lethargy, congestion, and sneezing. Foster said p’s URI did improve, but the past 2 days has begun to decline again.
Subjective: Q-BAR. Sweet and friendly, good for PE, some struggling during medical handling but able to handle.
Objective
T =
P = wnl
R = eup
BCS 4/9
EENT: Epiphora OU. Ears clean. Mild seromucoid nasal discharge bilaterally.
Oral Exam: no oral lesions/ulcers
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: MI
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: n externally
Assessment
URI — initial improvement but now relapsed
vomiting
decreased appetite
Prognosis: fair
Plan:
LRS 30 mL SQ
mirtazapine 3.75mg PO once today
cerenia 1mg/kg SQ
erythromycin OU BID x 7 days
clavamox 13.75mg/kg PO BID x 7 days
If no improvement or continues to decline, bring to a vet.
Addendum:
David from Foster came back post PE and said that p’s back paws are a bit irritated or raw. Told David, who will tell foster, that it may be related to calici virus and p’s URI. Continue treatments as prescribed and bring p back in if worsens or no improvement.
28-Nov-2017
DVM Intake
Vet Notes: 5:02 PM
DVM Intake Exam
Estimated age: 4 months based on overall appearance
Microchip noted on Intake? Scanned neg on LVT intake
History : Stray, no health hx available
Subjective: Alert, mews, active in kennel
Observed Behavior – Purring, allows all handling
Objective
BAR-H, MMs pink, BCS 5/9
EENT: Moderate black granular discharge AU. OD moderate mucopurulent discharge, elevated third eyelid, chemosis, erythema. OS appears normal. No active nasal discharge at the moment.
Oral Exam: Clean teeth
PLN: No enlargements noted
H/L: Snorts, sounds congested. NSR, NMA, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Male intact kitten
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally
Assessment:
1. Likely ear mites
2. Conjunctivitis and suspected URI
Prognosis: Good
Plan:
1. Clean ears, start Tresaderm AU BID x10 days
2. Terramycin ophth OU BID x10 days
3. Doxycycline 0.3 ml PO SID x10 days
SURGERY:
Temporary waiver due to URI
27-Nov-2017
LVT Intake
L V T Notes: 10:42 PM
BARH
scan negative
allowed handling
male intact, appx 4 months old
occulonasal d/c; eyes and nose cleaned
possible URI and conjunctivitis
ear mites, dirty ears cleaned
clean coat
BCS 4/9
AMB x 4
NOSF
Intake Behavior:
Green (allowed all handling)
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View all entries in: Safe Cats 2018-01