BLESSED – 23082
Safe - 3-21-2018 Brooklyn
SAFE 3/21/18 *NEEDS VET CARE ASAP! White & Orange Kitty Found In A Car – NOT EATING / POSSIBLE LIVER DISEASE! ** Per our vet, based on Blessed’s history, perhaps Blessed didn’t have access to food and is essentially showing signs of starvation. If you take Blessed, you may need to get him to eat via feeding tube, etc, and possibly take imaging of his abdomen in case there’s further internal issues. PLEASE HELP HER TODAY WITH FOLLOW UP VET CARE IMMEDIATELY!
Blessed 23082 – 8 yr. spayed white w/ orange kitty, stray:
Lying in back of kennel, body tense. Flattens ears and watches bear-claw as it reaches forward. Hisses and jerks head back when scratcher makes eye contact. May be uncomfortable due to medical condition. Needs more time to adjust.
Spay/Neuter statusYesDate of Intake17-Mar-2018
Basic Information:Blessed came in as a stray history is unknown. She is approximately an 8 year old, DSH female who is spayed.
Behavior Notes:Blessed was growling and did not allow for any handling with counselor.
Vet Notes: 8:54 AM
History: Intake 3/17. Given SQ LRS, cerenia, and famotidine.
Chemistry: mild hyperglobulinemia 5.9 (2.8-5.1), ALT moderately elevated 552 (12-130), ALP mild-moderately elevated 257 (14-111)
GGT moderately elevated 18 (0-4), t-bili 3.2 (0.0-0.9), Cholesterol mildly elevated 248 (65-225)
T4: 1.9 (Normal)
UA: 3+ bilirubin, 1+ protein, 2+ WBCs, USG >1.050
3/18-given cerenia and SQ LRS in net
Subjective: BAR. Limited cage exam due to behavior/stress. Has been eating some dry food. No csvd. U yesterday but empty litter box this morning. Unable to medicate cat in shelter because stress is very high for this cat. Will give medications in net once a day but ultimately needs hospitalization for IVC and IV medications.
EENT: Eyes clear, no nasal or ocular discharge noted
H/L: Normal RR/RE, eupneic
MSI: Ambulatory x 4, skin free of parasites, no masses noted, GHC, icteric pinna
CNS: Mentation appropriate – no signs of neurologic abnormalities
Icterus r/o hepatic lipidosis vs other liver disease
Mild hyperglobulinemia DDx: chronic inflammation, hepatic dz, FIP, immune mediated, neoplasia
ALT moderately elevated r/o hepatocellular injury from hepatitis, neoplasia, etc
ALP mild-moderately elevated 257 (14-111) r/o cholestasis vs other liver disease
GGT moderately elevated 18 (0-4) cholestasis
Elevated tbili with bilirubinuria r/o decreased hepatic uptake, decreased functional liver mass, decreased bile excretion
Cholesterol mildly elevated r/o liver dz, pancreatitis, etc
Fair to poor
CTM while at BACC
Rec hospitalization for e-tube placement, IVF, IV abx and pain meds. Will need AUS to assess liver and gallbladder.
Start SQ LRS 100ml SID x3d until 3/21
Start cerenia 1mg/kg SQ SID x3d until 3/21
Start B12 0.1ml SQ SID x3d until 3/21
+/- IVC with sedation if not NH placed soon
Vet Notes: 3:51 PM
[Progress Exam Template]
S: BAR in back of cage, no eating today
caught in net to try to deliver fluids and cerenia
EENT: cannot examine w/o sedation
Oral Exam: cannot examine w/o sedation
Mentation: not handleable at all, reactive to the slightest touch
A: r/o hepatic lipidosis – secondary to starvation vs underlying hepatopathy vs pancreatitis vs ibd vs neoplasia
P: 100 cc lrs sq -unable to give most of dose as pet
0.4 cc cerenia sq –
tomorrow reconsider sedation for more complete exam and radiographs
Needs abdo u/s w/ fna or biopsy
Px: guarded to poor due to overall guarded nature of the condition and temperament of the cat.
Is the Initial Medical Status being Changed?
New Medical Status:n
Is the Initial Behavior Status being Changed?
New Behavior Color: n
Blood Work Interpretation
Vet Notes: 5:14 PM
RBC – mildly decreased 6.28 (6.54-12.2)
Hematocrit – low normal 30.3 (30.3-52.3)
Monocyte – mildly elevated 0.71 (0.05-0.67)
Globulin mildly elevated 5.9 (2.8-5.1) DDx: chronic inflammation, hepatic dz, FIP, immune mediated, neoplasia
ALT moderately elevated 552 (12-130); hepatocellular injury DDx: hepatitis, neoplasia, open
ALP mild-moderately elevated 257 (14-111); cholestasis
GGT moderately elevated 18 (0-4); cholestasis
Bilirubin – Total 3.2 moderately elevated (0.0-0.9); dec hepatic uptake, dec functional liver mass, dec bile excretion
Cholesterol mildly elevated 248 (65-225) DDx: liver dz, pancreatitis, open
Total T4 – 1.9 (Normal)
Blood Ery – ca. 10
Urobilinogen – neg.
Bilirubin – +++
Protein – 100
Nitrite – neg.
Ketones – neg.
Ascorbic Acid – ++
Glucose – neg.
pH – 6
Leucocytes – ca. 500
USG (refractometer) – >1.050
Assessment: Icterus secondary to liver disease DDx: Hepatic lipidosis, FIP, Neoplasia, Open
Fair-Poor depending on diagnosis
Plan: Recommend NH placement. Recommend Internal Med consult with AUS on placement.
Vet Notes: 1:51 PM
DVM Intake Exam
Estimated age: 8-10yrs
Microchip noted on Intake? no
Microchip Number (If Applicable):
History: Blessed was brought in by police as a stray that was found in the car of someone who was arrested
Subjective: Cat is Q/BAR
Observed Behavior – hissing and growling in carrier, lunges and swats when approached, allowed handling during intake so suspect cat has escalated due to fear and/or overstimulation. Sedated with 0.1mLs Telazol IM, which provided adequate sedation for exam and treatments, continued to growl even after sedation.
Evidence of Cruelty seen – no
Evidence of Trauma seen – no
T = NA
P = wnl
R = wnl
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Grade 1-2/4 dental dz
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: female, visible spay scar; Bladder large but soft, easily expressed; urine is dark yellow and stains fur
MSI: Ambulatory x 4, skin free of parasites, no masses noted, hair coat unkempt, skin yellow
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: not performed
Assessment: Icterus. Rule-out anemia vs liver dz.
Plan: Keeping in medical. Performing bloodwork & UA. Gave approx 100mLs SQ LRS. Gave 0.4mLs Cerenia and 0.2mLs Famotidine SQ.
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View all entries in: Safe Cats 2018-03