CASEY – 12873
Safe - 11-20-2017 Brooklyn
SAFE 11/20/17 **4-Month Old Spayed Kitten With Swelling Under Eye NEEDS FOLLOW UP CARE! Cutie CASEY at BACC!**
Casey 12873 – 4 month spayed black/white kitten, stray:
Upon intake Casey had a loose wiggly body, Casey was lifted from the carrier and placed on the counter. Casey was scanned (negative) and collared. When attempting to determine sex Casey hissed and swatted at counselor. Allowed all handling upon intake.
Vet Notes: 2:32 PM
Progress exam-swelling under right eye
History : Found outside shelter in a cardboard box. Appears to have swelling under right eye-started on onsior
Subjective: BAR. No csvd. Mild swelling under right eye-based on intake SOAP appears to have improved.
EENT: Eyes clear no d/c, no nasal discharge noted
MSI: Mild swelling under R eye – approx. 0.5 cm diameter.
Swelling under R eye – r/o soft tissue trauma vs infxn (abscess, oral)-improved
Start doxycycline 10mg/kg PO SID x10d until 11/29
Continue simbadol until 11/21
Last day of onsior today
Recheck in 7 days
Post Surgery Note: 3:55 PM
Pre-surgical exam, anesthesia, and surgery performed by ASPCA.
Green linear tattoo placed on ventral abdomen.
Vet Notes: 1:52 PM
DVM Intake Exam
Microchip noted on Intake?
History : Found outside shelter in a cardboard box. Appears to have swelling under right eye.
Observed Behavior – Handleable but tried to hiss and bite when examining head – possibly painful.
Evidence of Cruelty seen -n
Evidence of Trauma seen -yes – swollen r face
R = eup
EENT: Eyes clear – no redness or discharge, ears clean, no nasal discharge noted
Oral Exam: no wounds, discharges or abnormalities inside mouth, normal kitten dentitia
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: female intact
MSI: Moderate swelling under R eye – approx. 1.5 cm diameter and 0.5 cm distension. Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Swelling under R eye – r/o soft tissue trauma vs infxn (abscess, oral?)
Prognosis: Fair to good depending on cause of swelling.
Onsior 0.17 cc sq x 3 days.
Re-check face in 2 days.
Okay for surgery
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View all entries in: Safe Cats 2017-11