CLAY – A1119851
Gone - 7-31-2017 Manhattan
GONE 7/31/17 Poor cat, Clay, is really in need of some love and care @MACC. CLAY is a polydactyl kitty who was brought in injured. She has a swollen right front leg which is painful to touch and she cannot put her weight on it – needs further eval – is friendly, gives head-butts and allows all handling. Please help 2 yr old Clay!
MANHATTAN CENTER
**POLYDACTYL**
CLAY – A1119851
FEMALE, GRAY / WHITE, DOMESTIC SH MIX,3 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition INJ MINOR Intake Date 07/26/2017, From NY 10457, DueOut Date 07/29/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 3-5 years Microchip noted on Intake? neg, placed on intake History : brought in as a stray Subjective: BAR Observed Behavior – a little shy but sweet, allows handling Evidence of Cruelty seen – none Evidence of Trauma seen – swelling along RF antebrachium Objective BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: mm pk, sl tacky; CRT <2 sec; mild tartar, modertae staining; fracture with poss pulp exposure of upper R canine PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: soft, nonpainful, doughy; intestines slightly thickened on palpation U/G: female MSI: polydactyl RF-weight bearing lameness, moderate soft tissue swelling along antebrachium, no palpable fractures/instability; no apparent wounds after shaving the area dirty hair coat mild muscle wasting CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment RF lameness/swelling-r/o soft tissue injury vs abscess vs other; no obvious bite wound or other injury underweight/muscle wasting-r/o malnutrition vs parasites vs other Plan sedate for radiographs of RF (0.1 ml dexdomitor/0.1 ml ketamine IM) and to shave RF radiographs of RF-soft tissue swelling around antebrachium, NOSF simbadol 0.3 ml SQ SID x 5 days onsior 0.2 ml SQ SID x 3 days (first dose given last night) Prognosis: good SURGERY: temp waiver due to underweight
Weight 4.7
Medical:
Re-exam 7/29/17
S/O: BAR VERY friendly, rolling over and social, suspected to have R FL injury
M/S: amb x4, BCS 4/9, able to bear weight on both FLs, but seems to be partially WBL on both FLs, and seems sensitive when attempt to palpate both
EENT: pink gums, no URI signs at this time, rostral aspect of nose is scraped
H/L: purring, but eupneic, no m/a asculted
UROGEN: FI, grossly normal, n opalpable MGTs
A: suspected injury to FLs- r/o soft tissue, orthopedic, other
underweight
P: if possible 2v FL rads – radiograph taken 7/27/17 not labeled with marker, but appears to be L FL; will taken R FL rads today ****unable to perform d/t lack of staff- consider taking R FL rads if p not improving***
cwsc
Re-exam 7/28/17:
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: mm pk, sl tacky; CRT <2 sec; mild tartar, modertae staining; fracture with poss pulp exposure of upper R canine
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: soft, nonpainful, doughy; intestines slightly thickened on palpation
U/G: female
MSI: front polydactyl, laceration/scraped on the nose (front)
RF-weight bearing lameness, moderate soft tissue swelling along antebrachium, no palpable fractures/instability; no apparent wounds, possible dislocation of 3rd phalanges for the 1 st digit of the RF (polydactyl medial side)
dirty hair coat
mild muscle wasting
CNS: mentation appropriate – no signs of neurologic abnormalities
Rectal: not performed
Assessment
RF lameness/swelling-r/o soft tissue injury vs abscess vs other; no obvious bite wound or other injury
underweight/muscle wasting-r/o malnutrition vs parasites vs other
Plan
Apply SSD on the front nose BID 5 days
Continue on simbadol 0.3 ml SQ SID
Add Clinamycin 25 mg PO BID 10 days
Feed only canned for 5 days (she likes A/D)
Prognosis: good
SURGERY: Temp waiver due to underweight
Rec cage rest for 2 weeks
Rec NH placement
LVT Exam 7/27/17
Sex: intact female
Age: appx 2-3y
Mentation: BARH
Eyes: clear
Ears: clean
Nose: no d/c
Teeth: minimal staining
If abnormal BCS: underweight 3.-4/9
Skin: WNL
Hair Coat: dirty as if outdoors but WNL
Declawed: no, polydactyl
Any injuries: yes; swollen RFL along rad/uln, at times non weight bearing, painful to touch
Behavior: allowed all handling, friendly, head butts for exam
Medication: oncall DVM rec 0.3ml simbadol and 0.2ml onsior
DVM Exam 7/27/17:
Estimated age: 3-5 years
Microchip noted on Intake? neg, placed on intake
History : brought in as a stray
Subjective: BAR
Observed Behavior – a little shy but sweet, allows handling
Evidence of Cruelty seen – none
Evidence of Trauma seen – swelling along RF antebrachium
Objective
BCS 4/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: mm pk, sl tacky; CRT <2 sec; mild tartar, modertae staining; fracture with poss pulp exposure of upper R canine
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: soft, nonpainful, doughy; intestines slightly thickened on palpation
U/G: female
MSI:
polydactyl
RF-weight bearing lameness, moderate soft tissue swelling along antebrachium, no palpable fractures/instability; no apparent wounds after shaving the area
dirty hair coat
mild muscle wasting
CNS: mentation appropriate – no signs of neurologic abnormalities
Rectal: not performed
Assessment
RF lameness/swelling-r/o soft tissue injury vs abscess vs other; no obvious bite wound or other injury
underweight/muscle wasting-r/o malnutrition vs parasites vs other
Plan
sedate for radiographs of RF (0.1 ml dexdomitor/0.1 ml ketamine IM) and to shave RF
radiographs of RF-soft tissue swelling around antebrachium, NOSF
simbadol 0.3 ml SQ SID x 5 days
onsior 0.2 ml SQ SID x 3 days (first dose given last night)
Prognosis: good
SURGERY: temp waiver due to underweight
Behavior:
ACTIVITY LEVEL: Laid back
VOCAL: Quiet
CHARACTER TYPE: Sweet
MEDICAL BEHAVIOR:
7/27/17- Observed Behavior – a little shy but sweet, allows handling
EVALUATION:
Cage Condition: No change
Reaction to assessor: Clay remains neutral lying down on her cage bedding during the approach.
Reaction to door opening: Clay remains in place, relaxed body posture, purring.
Reaction to touch: Clay head bunts the assessor’s hand and appreciates petting on the head and body.
Reaction to Being Picked up: Unable to perform due to medical condition.
BEHAVIOR SUMMARY: Beginner
Clay 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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