BREEZY – 11504
Safe - 11-12-2017 Brooklyn Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
*** SAFE 11/12/17 *** Sweet and purring Breezy was brought in with left hind limb lameness. It seems like he may have a deformity from an old fracture and xrays are needed to determine the cause. He also has some ulceration of his paw pads and is emaciated. Breezy is 13 years old and would love a retirement home where he can get some TLC and love. He is already neutered.
BROOKLYN CENTER
Hello, my name is Breezy. My animal id is #11504. I am a desexed male black cat at the Brooklyn Animal Care Center. The shelter thinks I am about 13 years old. – P
I came into the shelter as a aco impound on 02-Nov-2017.
Breezy is at risk due to being diagnosed with LHL lameness. Breezy is struggling to walk and move around. She may benefit from placement outside the care center. There is no behavior concerns at this time. Breezy interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
My medical notes are…
Weight: 7.1 lbs
DVM Intake Exam Estimated age: ~12-14 years Microchip noted on Intake? negative History : stray with LHL lameness Subjective: QAR, ~5-6% dehydrated (prolonged skin tent, dry gums). Unable to move LHL. Eating well when offered dry food. No c/s/v/d Observed Behavior -Very sweet and friendly, purring, allowed all medical examine and procedures Evidence of Cruelty seen -no Evidence of Trauma seen -yes Objective P =wnl R =wnl BCS=2/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: moderate to severe dental disease, no oral lesions PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 3 but very weak and has to be assisted into standing position. The LHL has a chronic deformity possibly from an old fracture. The tail also has a chronic fracture. Neiter seem painful. MCS 0.5/3 especially LHL. No withdrawals or deep pain on LHL. RHL has normal withdrawal and deep pain. FLs appear normal. Skin free of parasites, no masses noted, healthy hair coat. There are also ulcerations of all 4 paw pads. Circular scar on dorsal head/neck region ~2cm. Small abrasion on RFL lateral carpus CNS: Mentation appropriate – no signs of neurologic abnormalities-see above for MS/neuro exam Assessment: LHL lameness r/o chronic injury Tail chronic injury Ulceration of paw pads Dehydration Geriatric Emaciation Dental disease Prognosis: Poor Plan: 2 view LHL and pelvic rads tomorrow CBC/Chem/T4 tomorrow Does not appear in pain at this time-reassess daily LRS 100ml SQ SID x3d-gave on intake SURGERY: neutered
Monitor condition – geriatric, old injuries S/O: QAR. ~5% dehydration. Eating well EENT: Nuclear sclerosis, no ocular or nasal discharge HL: Normal thoracic auscultation ABD: Soft, non tender, minimal contents INTEG: Unkempt, areas of alopecia at top of head and cervical region, no crusting or underlying dermatitis; old wound/necrosis of distal tail MS: Ambulatory x 4, attempts to place weight on LH but falls over, too weak vs displaced to bear any weight, generalized muscle wasting but most pronounced in hind end UG: Neutered Blood work: CBC — Moderate non-regenerative anemia, mild leukocytosis characterized by a mild to moderate neutrophilia, mild monocytosis, thrombocytopenia (platelet aggregates detected) Chem — Mildly elevated glucose, BUN, ALT and ALP. T4 WNL Radiographs: pelvis intact. Possibly dislocation at tarsotibial joint seen on dorsal/plantar view A: Geriatric, old/chronic injury to LHL and tail; R/O anemia of chronic disease, inflammatory leukogram, stress hyperglycemia, pre-renal azotemia due to dehydration P: Continue with current treatment and monitoring plan. Poor long term prognosis
Monitor condition S/O: BAR. ~5% dehydration. Allows all handling. Eating well. Clean litter EENT: Nuclear sclerosis, no ocular or nasal discharge HL: No sneezing INTEG: Unkempt, two areas of alopecia described in previous exam unchanged MS: Ambulatory x 4 but unable to bear much weight on LHL, falls over to left side, muscle wasted UG: Neutered A: Geriatric, old injuries, doesn’t appear painful. NSF on radiographs 11/3 P: Continue with current treatment and monitoring plan. Poor long term prognosis
Progress exam History : stray with LHL lameness 11/3: -Blood work: CBC: Moderate non-regenerative anemia, mild leukocytosis characterized by a mild to moderate neutrophilia, mild monocytosis, thrombocytopenia (platelet aggregates detected) -Chem: Mildly elevated glucose, BUN, ALT and ALP. T4 WNL -Radiographs: pelvis intact. Possibly dislocation at tarsotibial joint seen on dorsal/plantar view Subjective: QAR, ~5% dehydrated. Unable to move LHL and very weak-not able to walk without assistance. No c/s/v/d. Eating well with normal bm in box. Purring and seems comfortable. Objective P =wnl R =wnl BCS=2/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 3 but very weak and has to be assisted into standing position. The LHL is loose at his side and although he is able to move it he cannot bear any weight on it. The tail also has a chronic fracture. Non-painful. MCS 0.5/3 especially LHL. FLs appear normal. Skin free of parasites, no masses noted, healthy hair coat. Circular scar on dorsal head/neck region ~2cm. Small abrasion on RFL lateral carpus CNS: Mentation appropriate – no signs of neurologic abnormalities-see above for MS/neuro exam Assessment: LHL lameness r/o chronic injury Tail chronic injury Ulceration of paw pads Dehydration Geriatric Emaciation Dental disease Anemia Leukocytosis Mild hyperglycemia r/o stress Azotemia r/o pre-renal azotemia due to dehydration Cachexia Prognosis: Poor Plan: Recheck daily If no improvement or placement rec EHR due to poor prognosis LRS 100ml SQ SID x3d until 5/8
Progress exam History : stray with LHL lameness 11/3: -Blood work: CBC: Moderate non-regenerative anemia, mild leukocytosis characterized by a mild to moderate neutrophilia, mild monocytosis, thrombocytopenia (platelet aggregates detected) -Chem: Mildly elevated glucose, BUN, ALT and ALP. T4 WNL -Radiographs: pelvis intact. Possibly dislocation at tarsotibial joint seen on dorsal/plantar view Subjective: BARH. Today he was more eager to get up and walk out of his cage on his own without assistance but will still fall over. No c/s/v/d. Eating well with normal bm in box. Purring and seems comfortable. Objective P =wnl R =wnl BCS=2/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 3 but very weak and has to be assisted into standing position. The LHL is loose at his side and although he is able to move it he cannot bear any weight on it. The tail also has a chronic fracture. Non-painful. MCS 0.5/3 especially LHL. FLs appear normal. Skin free of parasites, no masses noted, healthy hair coat. Circular scar on dorsal head/neck region ~2cm. Small abrasion on RFL lateral carpus CNS: Mentation appropriate – no signs of neurologic abnormalities-see above for MS/neuro exam. Positive withdrawal and deep pain in LHL Assessment: LHL lameness r/o chronic injury Tail chronic injury Ulceration of paw pads Dehydration Geriatric Emaciation Dental disease Anemia Leukocytosis Mild hyperglycemia r/o stress Azotemia r/o pre-renal azotemia due to dehydration Cachexia Prognosis: Poor Plan: Recheck daily If no improvement or placement rec EHR due to poor prognosis LRS 100ml SQ SID x3d until 11/8
Progress exam History : stray with LHL lameness 11/3: -Blood work: CBC: Moderate non-regenerative anemia, mild leukocytosis characterized by a mild to moderate neutrophilia, mild monocytosis, thrombocytopenia (platelet aggregates detected) -Chem: Mildly elevated glucose, BUN, ALT and ALP. T4 WNL -Radiographs: pelvis intact. Possibly dislocation at tarsotibial joint seen on dorsal/plantar view Subjective: BARH. He had a hard time standing and walking on his own today. He is also congested with nasal d/c today for the first time and is sneezing. No c/v/d. Eating well with normal bm and u in box. Purring and seems comfortable but has poor QOL overall. Objective P =wnl R =wnl BCS=2/9 EENT: Eyes clear, ears clean, serous nasal, no ocular discharge noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic, purring ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 3 but very weak and has to be assisted into standing position. The LHL is loose at his side and although he is able to move it he cannot bear any weight on it. The tail has a chronic fracture. Non-painful. MCS 0.5/3 especially LHL. FLs appear normal. Skin free of parasites, no masses noted, healthy hair coat. Circular scar on dorsal head/neck region ~2cm. Ulceration of all 4 paw pads. CNS: Mentation appropriate – no signs of neurologic abnormalities-see above for MS/neuro exam. Positive withdrawal and deep pain in LHL but absent CP Assessment: LHL lameness r/o chronic injury URI Tail chronic injury Ulceration of paw pads Dehydration-improving Geriatric Emaciation Dental disease Anemia Leukocytosis Mild hyperglycemia r/o stress Azotemia r/o pre-renal azotemia due to dehydration Cachexia Prognosis: Poor Plan: Recheck daily If no improvement or placement rec EHR due to poor prognosis LRS 100ml SQ SID until 11/8 Start doxycycline 10mg/kg PO SID x10d
Details on my behavior are…
Behavior Condition: 1. Green
KNOWN HISTORY:: Breezy was brought into our care center as a stray so we have no previous history available.
MEDICAL BEHAVIOR:: Very sweet and friendly, purring, allowed all medical examine and procedures.
ENRICHMENT NOTES:: 11/05/17 Lying in front of kennel with a soft, relaxed body. He chirps and makes eye contact, then tries to come forward. Greets my hand with a head-butt and allows all petting. Purrs and kneads towel. Very sweet boy – doing well behaviorally despite medical condition.
Cage Condition:: Cage is neat
Reaction to assessor:: Breezy is lying in front of his kennel as the assessor approaches, eyes bright and ears forward.
Reaction when softly spoken to:: Breezy makes eye contact and chirps when softly spoken to.
Reaction to cage door opening:: Breezy stands up and comes forward as the cage door opens.
Reaction to touch:: Breezy allows petting along his head and body while leaning in and purring.
Reaction to being picked up:: Breezy remains calm when picked up and held.
ACTIVITY LEVEL:: Mellow
CHARACTER TYPE: : Social,Calm,Sweet,Affectionate
POTENTIAL CHALLENGES:: None
BEHAVIOR DETERMINATION: : Beginner
Behavior Asilomar: H – Healthy
RECOMMENDATIONS:: None
BEHAVIOR SUMMARY:: Breezy interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
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