BISCUIT – A1122466
Gone - 8-18-2017 Manhattan
DIED 8/18/17 Poor Biscuit was brought in by owner with high-rise trauma, and head trauma – needs x-rays and further medical evaluation. Needs rescue asap.
BISCUIT – A1122466
MALE, BRN TABBY / WHITE, DOMESTIC SH MIX,2 yrs
OWNER SUR – EVALUATE, HOLD FOR LEGAL Reason PET HEALTH
Intake condition EXAM REQ Intake Date 08/18/2017, From NY 10467, DueOut Date 08/18/2017,
Medical Behavior Evaluation No Initial Behavior
Medical Summary DVM Intake Exam Estimated age: 2yo Microchip noted on Intake: Negative: History: Owner surrender Subjective: Observed Behavior – QA latero recumbent Evidence of Cruelty seen – None Evidence of Trauma seen – Yes Objective: Hydrated; T =low P = 140 R =28 BCS 5/9 EENT: Eyes clear with large amount of baby maggots, ears clean, no nasal discharge noted Oral Exam: Mild dental stain, all permanent teeth are present, some maggots on the right side upper molars. MM Pink and moist, PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, intact bladder U/G: Intact male MSI: Non Ambulatory x 4, skin free of parasites, no masses noted, disrty hair coat, some blood stain on coat, few scars an scabs on face CNS: Mentation Quiet – (full neurologic exam not performed) Rectal: Not performed Assessment 1. High rise 2. Hea trauma 3. Maggots Plan/Treatment/Recommendations 1.Radiographs: Chest/Abdomen/Spine/Pelvis (NO obvious internal trauna o fracture at this moment) 2.IVC, IVF Bolus 60 ml Warm LRS, then 1 L LRS add 2 ml B complex and 20 mEq KCL @ 25 ml/hr 3. Warm bottle water or heating pad to increse body temperature 4. Once Temp is above 99F, weight and rec to Give Simbadol 0.6 ml SQ 5. Once BP is normal do blodd work CBC/Chem/Lytes 6. Combo test (negative FIV/FeLV) 7. Clean face and mouth (remove maggots and apply Revolution) Prognosis:Open SURGERY: No Temporary waiver due to trauma (High Rise)
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