CHESTER – A1105433
Urgent - Manhattan
Meet Chester: Chester came in with bite wounds of an unknown origin. Due to these bite wounds, he will require a 6 month in-home quarantine. The quarantine will require monthly vet visits for the first 4 months, and then calls to the Department of Health for the remaining 2 months. Other pets may live in the home with Chester but proof of rabies vaccination must be provided. If Chester leaves the five boroughs, written and signed permission must be obtained from the DOH of the county where he will be staying.
CHESTER – A1105433
MALE, ORG TABBY, DOMESTIC SH, 3 yrs
STRAY – STRAY WAIT, HOLD FOR DOH-B Reason STRAY
Intake condition INJ MINOR Intake Date 03/05/2017, From NY 10452, DueOut Date 03/14/2017,
S/O: BAR, EATING, FRIENDLY
EENM: MM PINK AND MOIST, CRT 2 SEC , maxillary canine Fx, mild gingivitis, AU copious debris, sneezing with clear nasal dc
CV: NO MURMURS OR ARRHYTHMIAS
LUNGS: CLEAR LUNGS:
ABD: SOFT AND NONTENDER ABD:
MS/INTEG: AMB X 4, BCS 5/9 (OR 3/5) crusted puncture wounds on bilateral scapula, warm to touch, but not flocculent
A: Bite wounds/cellulitis
P: 0.4 cc buprenex SC BID, amoxiclav 1.4 cc po BID x 14 D, 0.5 cc penG given SC on intake. Applied 2 drops ivermectin AU.
Hx: Bite wounds on shoulders, severe URI
S: Allows basic handling, moving around cage
O: BAR, MMs pink and saliva-coated
EENT: Severe mucoid yellow discharge on nose. Severe black discharge AU, large crusty scabbed lesion on lateral aspect of base of AS. Blepharospasm and moderate mucoid ocular discharge OU. Mild tartar and gingivitis.
H/L: Referred upper resp sounds.
M/S/I: Amb x4. Multiple puncture wounds on the rostral aspect of both shoulders – left shoulder has two-three small scabs, right shoulder has a larger region (2-4 cm dia) of patchy scabbing and erythema.
UG: Male intact, testicles soft and symmetrical.
Neuro: Alert and appropriate
1. URI and conjunctivitis
2. Wounds to shoulders, bite wounds cannot be ruled out
3. Ear mites
4. Wound to lateral AS – R/O self-trauma from ear mite irritation
Age estimate – closer to 3 years given mild tartar and secondary sex characteristics.
Short-term prognosis: Good
SURGERY: Temporary waiver for URI and wounds.
1. Continue amoxiclav
2. Start buprenorphine 0.3 ml OTM BID x5 days
3. Erythromycin OU BID x10 days
4. Clean ears today and q3 days, Tresaderm AU BID x10 days
5. Clean wounds on shoulders and left ear daily with chlorhexidine scrub
6. Nebulize BID x5 days
7. Move out of Medical to Isolation
Hx: came in 3/5 with bite wounds and URI
S: very sweet affectionate, eating well, focused re-exam for clip and clean wounds
EENT: mucopurulent nasal dc
H/L: not asculted
UG: intact male
MS: 4x amb BCS 5/9
Neuro: BAR, no obvious deficits
– deep hemorrhagic puncture/laceration wound approx on outer aspect of AS close to base;
– approx 8-10cm x 3-4cm abrasion on cranial R shoulder extending down R limb
– healing lacerations/wounds on L lateral shoulder with region of alopecia
bite wound on AS pinnae
wound on L shoulder consistent with road burn or other abrasive trauma
chronic healed wound on R lat shoulder
cont pain management and ear/eye treatment
start Baytril for URI and wound treatment
on vc list due to observed bloody sneezes,
cat is BAR, soliciting attention, eating
already on appropriate treatment
Chester is a stray so no known history is available
Litter box training: Y
Very sweet affectionate, eating well,
Showing very calm and social behavior. Stood on approach, came to the front, soft eyes and body. Repeatedly head-butted, leaned and arched into pets, and purred.
Cage Condition: No change
Reaction to assessor: Comes to front interested
Reaction when softly spoken to: Stays at front
Reaction to cage door opening: Soft and relaxed sniffing
Reaction to touch: Allows all rubs from assess-a-hand and gloved hand as well
Reaction to being picked up: Allows pick up
ACTIVITY LEVEL: Moderate, and another if applicable
CHARACTER TYPE: Social, choose another, Affectionate
BEHAVIOR SUMMARY: Beginner
Despite Chester’s medical condition he is calm and loving. He was responsive and social even though he has a host of medical maladies.
Chester interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting.
This cat can go to a beginner home.
Ear mites, URI, possible bite wounds. Very sick, blowing snot bubbles, but still showing very calm and social behavior. Stood on approach, came to the front, soft eyes and body. Repeatedly head-butted, leaned and arched into pets, and purred.
Dozing on approach. Leapt to his feet and came right to the front when spoken to. Still incredibly friendly. Began purring even before I opened the door. Head-butted, leaned and arched enthusiastically into pets. Stayed at the front and rubbed against the bars after door closed.
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