COOKIE – A1104138
Safe - 2-23-2017 Manhattan
***SAFE 02/23/17***BEGINNER RATED SWEETHEART!!! Itty bitty cutie Cookie–6 YO– has stomatitis and needs a human to help care for her! How about you?
My name is COOKIE. My Animal ID # is A1104138. – P
I am a female brn tabby domestic sh mix. The shelter thinks I am about 6 YEARS old.
I came in the shelter as a STRAY on 02/18/2017 from NY 10308, owner surrender reason stated was STRAY.
02/22/2017 AT RISK MEMO
Cookie A1104138 is at risk for medical condition, please see most recent exam below
MOST RECENT MEDICAL INFORMATION AND WEIGHT
02/22/2017 Exam Type OBSERVATION – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 5.7 LBS.
P was bathed today. Bathing was tolerated very well. Small sores on hocks noted after removal of caked on feces and debris- and reported to 1088.
PET PROFILE MEMO
No Pet Profile Memo
No Web Memo
02/21/2017 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
KNOWN HISTORY: Cookie was brought in as a stray, so we cannot speak to her behavior in her previous home. MEDICAL BEHAVIOR: Allows all handling, friendly and head butting EVALUATION: Cage Condition: Cage is neat Reaction to assessor: Cookie was calm, relaxed, and friendly by the front. Reaction when softly spoken to: Cookie immediately rolls over and rubs her cheeks on her bedding. Reaction to cage door opening: Cookie remains soft and relaxed. Reaction to touch: Cookie gets up and head-butts the assessor’s hand. She leans in for cheek rubs and begins to purr. She is very affectionate throughout the interaction. Reaction to being picked up: Cookie remains calm and allows handling. ACTIVITY LEVEL: Mellow VOCAL: Quiet CHARACTER TYPE: Social, Sweet, Affectionate BEHAVIOR SUMMARY: Beginner Cookie 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
02/19/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
s: friendly o: purulent oral discharge dental disease and stomatitis, evere ocular andnsal discharge minimal cat has her body covered in matted fur and pus/oral discharge underweight bcs 2/9 female fiv/felv negative a: appearence of underlying disease p: in medical, obtain cbc/chemistry continue lrs for hydration given unlikelyhood that orally hydrating ———————— Animal briefly seen by DVM, needs full DVM intake exam Microchip: negative, placed 981020019673484 Sex: intact female Age: appx 6-7y Mentation: BAR, dehydrated (prolonged turgor) Eyes: clear Ears: clean Nose: no d/c Teeth: mild staining If abnormal BCS: underweight, 3/9 Skin: WNL Hair Coat: unkempt, caked in saliva and debris from grooming attempts and outdoors Declawed: no Any injuries: ulcers in mouth (DVM presumes kidney dz, small kidneys on palp), sligt ataxia Behavior: allows all handling, friendly and head butting Medication: preventatives given, 100ml SQF, buprenorphine 0.16ml (0.3mg/ml) BIDx7d, clindamycin 1ml (25mg/ml) BIDx14d, CBC/chem and T4 ordered for a.m.
02/22/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
2/22/17 Hx: Likely eosinophilic or lymphocytic-plasmacytic stomatitis – great appetite overnight. S: Active in cage, head-butts, allows all handling O: BAR, BCS 2/9, MMs pink EENT: Severe gingival swelling and erythema, especially at lateral commisures of the mouth. Oral discharge caked on face. Pt jerks away from oral exam – could not evaluate teeth. No discharge OU, AU, nose. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, fluid-filled. No pain on palpation, no masses palpated. M/S/I: Amb x4. Fur coat extremely dirty – tail caked with stool, all four legs caked with material that is likely oral discharge, greasy fur on trunk. UG: Female Bloodwork from yesterday CBC: Anemic (Hct 20.9%), severe leukocytosis (47.84 K/ul, neutrophilia (27 K/ul, lymphocytosis (17.2 K/ul), monocytosis (2.51) Chem: Elevated globulins (7.3), elevated total protein (9.7) A: 1. Stomatitis, anemia, WBC elevations – R/O secondary infection with lymphocytic-plasmacytic stomatitis, eosinophilic granulomas, neoplasia 2. Emaciation 3. Dirty fur coat Short-term prognosis: Fair with treatment. Guarded without treatment. P: Continue treatments as scheduled. Monitor oral swelling. Bathe today. 1088 —– 02/21/17 10:22 s/o: eating very well proliferative tissue at fauces, very painful. oral exam difficult. enlarged SMLN abd seem wnl muscle wasting a: appear is typical of eosinophilic granulomas or LP stomatitis p: gave 1 mg dexamethasone sq. will sign up for same dose next three days then reevalauate based on response 2/19 s: friendly o: purulent oral discharge dental disease and stomatitis, evere ocular andnsal discharge minimal cat has her body covered in matted fur and pus/oral discharge underweight bcs 2/9 female fiv/felv negative a: appearence of underlying disease p: in medical, obtain cbc/chemistry continue lrs for hydration given unlikelyhood that orally hydrating
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