BRITTON – A1120253
Safe - 8-5-2017 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
***SAFE 08/05/17*** SOCIAL, SWEET AND AFFECTIONATE BRITTON HAS A FRACTURE WHICH NEEDS FOLLOW UP CARE – Britton has a complete femoral fracture close to the patella/joint – Lameness, non weight bearing on his right hind leg. Please help BRITTON today. BRITTON IS BEGINNER RATED!! MUST RESERVE BY NOON!!
Manhattan Center
My name is BRITTON. My Animal ID # is A1120253. – P
I am a male white and black domestic sh mix. The shelter thinks I am about 1 YEAR
I came in the shelter as a STRAY on 07/29/2017 from NY 10467, owner surrender reason stated was STRAY.
08/01/2017 AT RISK MEMO
Britton A1120253 is at risk due to medical condition. Please see exam notes below.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
08/01/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 6.9 LBS.
Hx: Came in on 7/29/17 with multiple leg lameness. Rads done, several fractures identified, pt started on Simbadol and Onsior. Rads review: fractures of left radius at distal physis, left 4th MC midshaft, right femur at distal physis. Minimal soft tissue swelling in these regions, some bony growth but no noticeable callus formation. Other growth plates (tibial tuberosities, some long bones) are not fully fused. S: Pt is resting inside kennel, rolling around and trying to get our attention by pawing at the door to the kennel. Relaxed. Once I open the door – pt allows light handling, although he runs away when I examine his mouth. O: BAR-H, BCS 5/9, MMs pink and moist EENT: Cleft nose and lip. Palate is fully fused. No discharge OU, AU, nose. Clean teeth. PLNs: Not significantly enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation, no masses palpated M/S/I: Weight-bearing x4 legs. Pt vocalizes when injured limbs are palpated. Very mild swelling to distal left front leg, right stifle. No skin lesions noted. UG: Male intact, testicles soft and symmetrical. Neuro: Alert and appropriate, no sign neurological deficiencies A: 1. Open growth plates – R/O young age vs. congenital defect of cartilage or osteogenesis 2. Multiple fractures – R/O pathologic fractures vs. trauma. Minimal swelling – no callus formation, no soft tissue swelling. Fractures are likely old but unstable. 3. Cleft lip Short-term prognosis: Fair-poor P: Continue Simbadol and Onsior. Recommend evaluation by orthopedic surgeon! 1088
07/29/2017 PET PROFILE MEMO
This cat seems friendly, will approach and allow some handling.
WEB MEMO
No Web Memo
08/01/2017 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
ACTIVITY LEVEL: Moderate VOCAL: Somewhat chatty CHARACTER TYPE: Social, Sweet, Affectionate MEDICAL BEHAVIOR: 7/30/17- Observed Behavior – very affectionate, allows all handling; great appetite EVALUATION: Cage Condition: No change Reaction to assessor: Britton remains neutral, lying down on his cage bedding. Reaction to door opening: Britton remains soft and relaxed body posture, soliciting attention. Reaction to touch: Britton head-butts the assessor’s hand, rolls over, and appreciates petting on the head and body. Reaction to Being Picked up: Allows the pickup and remains calm. BEHAVIOR SUMMARY: Beginner Britton interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
07/30/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: 2 years Microchip noted on Intake? History : found in stairwell of apartment building; friendly; appears to be limping Subjective: BAR Observed Behavior – very affectionate, allows all handling; great appetite Evidence of Cruelty seen – none Evidence of Trauma seen – Objective BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: mm pk, moist; CRT <2 sec; minimal tartar/staining PLN: No enlargements noted H/L: intermittently purring on auscultation, no murmurs noted ABD: Non painful, no masses palpated U/G: male intact; 2 scrotal testicles MSI: RH-weight bearing lameness; mild to mod atrophy of thigh musculature; thickening of stifle with crepitus palpable, resists any extension LF-mild weight bearing lameness with mild swelling over antebrachium and boney abnormality just proximal to carpus CNS: mentation appropriate – no signs of neurologic abnormalities Rectal:not performed Assessment RH lameness LF lameness Plan sedate with simbadol and 0.1 ml dexdomitor IM for radiographs LF-complete fracture of distal radius with minimal displacement H-complete fracture of distal femur at level of patella; caudal displacement of distal femoral fragment simbadol 0.35 ml SQ SID x 5 days onsior 0.3 ml SQ SID x 3 days recommend orthopedic consult ASAP after placement; due to the severity of the right femur fracture as well as its proximity to the joint, surgical stabilization is necessary for appropriate healing and long term success; the distal radial fracture may also require surgical stabilization although splinting the limb for approx 8 weeks may also be a reasonable treatment plan though it would require weekly bandage changes, if not more frequently; due to the severity of the femoral fracture, amputation is considered a reasonable treatment, however, that may put more stress/weight on the radial fracture Prognosis:good with surgery/follow up care SURGERY: Okay for surgery
08/01/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
Hx: Came in on 7/29/17 with multiple leg lameness. Rads done, several fractures identified, pt started on Simbadol and Onsior. Rads review: fractures of left radius at distal physis, left 4th MC midshaft, right femur at distal physis. Minimal soft tissue swelling in these regions, some bony growth but no noticeable callus formation. Other growth plates (tibial tuberosities, some long bones) are not fully fused. S: Pt is resting inside kennel, rolling around and trying to get our attention by pawing at the door to the kennel. Relaxed. Once I open the door – pt allows light handling, although he runs away when I examine his mouth. O: BAR-H, BCS 5/9, MMs pink and moist EENT: Cleft nose and lip. Palate is fully fused. No discharge OU, AU, nose. Clean teeth. PLNs: Not significantly enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation, no masses palpated M/S/I: Weight-bearing x4 legs. Pt vocalizes when injured limbs are palpated. Very mild swelling to distal left front leg, right stifle. No skin lesions noted. UG: Male intact, testicles soft and symmetrical. Neuro: Alert and appropriate, no sign neurological deficiencies A: 1. Open growth plates – R/O young age vs. congenital defect of cartilage or osteogenesis 2. Multiple fractures – R/O pathologic fractures vs. trauma. Minimal swelling – no callus formation, no soft tissue swelling. Fractures are likely old but unstable. 3. Cleft lip Short-term prognosis: Fair-poor P: Continue Simbadol and Onsior. Recommend evaluation by orthopedic surgeon! 1088
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