DAVID BOWIE – 25357
Safe - 5-8-2018 Manhattan
SAFE 5/8/18 ***6 month in-home Quarantine*** Beginner Boy David Bowie is your starcat in the sky, he’d like to come and meet you @MACC. David Bowie came to us as a stray and has bites of unknown origin. David Bowie requires a 6 month in-home isolation with vet visits for the first 4 months and phone calls thereafter. If leaving the 5 boroughs, quarantine MUST be approved by the receiving city or township DOH. Please note, the 5 boroughs are easier for in home quarantine.
Manhattan Center
25357 David Bowie 2Y Male Silver Tabby Domestic Short Hair 6lbs
Medical
Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
24-Apr-2018
Progress Exam
Vet Notes: 5:09 PM
Hx: Bite wounds to LHL and left side of the scrotum. LHL has been bandaged; bandage was changed yesterday and is due to be changed in 2 days. Pt is receiving Simbadol, gabapentin, enrofloxacin.
Good appetite this morning.
S: Alert in kennel
O: BAR-H, MMs pink
-Mild tartar
-No nasal or ocular discharge
-Abd soft
-Bandage on LHL in place, intact, dry
A: Wounds healing well, no sign of URI or neurological condition
P: Continue monitoring wounds, change LHL bandage in 2 days – may need to sedate to do this.
1088
VET 991088
23-Apr-2018
Progress Exam
Vet Notes: 2:16 PM
S/O
-BAR, friendly and docile boy, allows all handling but became fractious when attempting to sedate for bandage change
-mm pk, moist
-good appetite
-no nasal discharge or sneezing
-OU: open and clear
-eupnic
-LH: bandage intact with no stike through
-wound to left of scrotum: large black, superficial eschar over lying previously debrided skin tissue; good granulation bed forming underneath eschar; previously reduced laceration intact and scrotum adhered to body wall
P
-sedated with 0.2 ml torb/0.2 ml dexdom/0.1 ml ketamine IM
-removed bandage along LH: large amount of clotted blood along wound but otherwise healthy granulation bed forming along entire wound; no purulent discharge or swelling
-replaced bandage, change in 3 days
-restart simbadol 0.4 ml SQ SID x 4 days, first dose given after bandage change
VET 991382
23-Apr-2018
Tech Exam
L V T Notes: 2:14 PM
Sedated with 0.2ml Butorphanol (bottle #6, 10mg/ml), 0.2ml dexdomitor, and 0.1ml ketamine (bottle #24 100mg/ml).
Removed old bandage and cleaned wound on foot with chlorhexidine scrub. Replaced bandage after applying SSD cream.
Administered 0.4ml Simbadol SQ at 2:00pm. (bottle 1.8mg/ml, bottle #87)
LVT-E 991215
23-Apr-2018
22-Apr-2018
Progress Exam
Vet Notes: 9:22 AM
SO
DOH-V
bandage changed on 4/21 under sedation.
BCS 4/9
BAR, allows all handling and seeks attention.
Actively eating in kennel.
Bandage is clean and dry.
A
Bite wounds, L distal hind, L scrotal, L dorsum — healing well.
P
check bandage daily for strike-thru
continue medications as prescribed
weight gain
VET 991516
21-Apr-2018
Progress Exam
Vet Notes: 4:59 PM
IMAGES OF WOUND AVAILABLE IN VET DOCUMENTS TAKEN 4/21/2018
S/O – BARH. Moving comfortably in kennel – pain control appropriate. Eating and drinking well.
Sedated Bandage change –
Gave 0.15 ml butorphanol and 0.15 ml dexmediomidine IM @ 3;30pm – repeated dose at 4pm. Reversed with 0.25 ml of antisedan IM
Injury appears to be healing appropriately with pink, granulation tissues appearing around the wound edges. No signs of obvious infection. ventral and dorsal ligaments still visible.
Cleaned wound with dilute chlorohexdine solution
Replaced bandage with the addition of SDS cream on tefla pads using a 3 layer bandage. Clean and change bandage in 3 days.
Scrotal lesion – necrotic skin still attached – no signs of infection present
L V T Notes: 4:37 PM
Bandage change was completed by Rounds DVM unassisted.
VET 991493
20-Apr-2018
Progress Exam
Vet Notes: 6:11 PM
SO – Eating and drinking. Lots of energy. Seems comfortable in kennel and adequate pain control. No obvious discharge or additional inflammation from scrotal wounds.
A – wounds healing well.
P – continue on current tx plan. Seek placement as per DOH requirements. change bandage tomorrow
VET 991493
20-Apr-2018
Tech Exam
L V T Notes: 10:48 AM
gave 0.4cc of Simbadol Sq bottle #86 at 8:55am
LVT 0811
LVT-E 990811
19-Apr-2018
Progress Exam
Vet Notes: 8:26 AM
S/O
-BAR, friendly and affectionate, allows all handling
-good appetite
-mm pk, sl tacky
-no nasal discharge or sneezing
-OU: open and clear
-eupnic, clear lung sounds, no murmurs/arrhythmias
-soft abdomen
-bandage intact on LH with no strike through
-main laceration to L of scrotum still reduced but there is a strip of blackened tissue along area which is likely necrotic; mild mucoid film overlying previously debrided cutaneous tissue
-superficial wounds on L caudal dorsum healing well
A
1. Bite wounds, L distal hind, L scrotal, L dorsum
P
-continue simbadol and baytril
-add gabapentin 200 mg/ml: 0.2 ml PO BID x 10 days
-bandage change tomorrow
VET 991382
18-Apr-2018
Progress Exam
Vet Notes: 4:28 PM
S/O
-BAR, adorable and affectionate, sweet boy!
-great appetite
-mm pk, sl tacky; CRT <2 sec
-no nasal discharge or sneezing
-OU: open and clear
-eupnic
-soft abdomen
-bandage intact on RH, using limb well
-SQ laceration reduced with 3-0 Monocryl on 4/16, still intact with mild fibrinous discharge along edges; suspect there may be mild continued necrosis of skin in this area that appears blacked
A
1. Bite wounds, bandage intact on LH
P
-sedated with 0.15 ml torb/0.15 ml dexdom/0.15 ml torb for bandage change
-open wound along lateral distal left hind limb appears to be healing well; mild granulation tissue starting to form over top of wound and previously exposed fibula is no longer visible, no significant discharge
-replaced bandage, used TAB ointment on telfa pad to cover wound
-change bandage in 2 days
-gave 150 ml SQF while sedated
VET 991382
18-Apr-2018
Tech Exam
L V T Notes: 3:43 PM
Sedated at 3:11pm with 0.15ml dexdomitor, 0.15ml Butorphanol bottle #6, 10mg/ml, and Ketamine 0.1ml bottle # 24 100mg/ml.
Old bandage was removed, wound flushed with saline and chlorhexidine. Bandage replaced.
LVT-E 991215
18-Apr-2018
17-Apr-2018
Progress Exam
Vet Notes: 8:13 PM
Hx: Multiple wounds consistent with bite wounds – including one large avulsion on the left gluteal near the scrotum, and one large open wound on the left lower leg.
Good appetite today.
S: Social eater – as soon as I open the kennel, pt goes to eat. Pt growls a little while eating. Allows all handling.
O: BAR, MMs pink and moist
EENT: No discharge OU, nose
H/L: Eupnic, not ausculted today
Abd: Soft, nonpainful, not distended
M/S/I: Toe-touching lame on LHL. LHL bandage is in place and dry. Wound on the left gluteal – small amount of SQ tissue exposed between the skin edges. No discharge or swelling.
Neuro: Alert and appropriate
A:
1. Leukopenia as noted – R/O consumption vs. other
2. Bite wounds
P:
1. Change bandage on LHL
2. Start enrofloxacin 22.7 mg tabs – 1/2 tab PO SID x10 days
1088
VET 991088
16-Apr-2018
Progress Exam
Blood Work Interpretation
Vet Notes: 4:31 PM
Blood work available for review from 4/15
CBC-mild anemia; mild neutropenia, basophil count 0, severely low eosinophils
Chemistry-mild hyperglycemia (211), mildly elevated ALT (166)
A
1. Leukopenia-r/o chronic wound/consumption vs early sepsis vs other
2. Suspect stress hyperglycemia
3. Elevated ALT-r/o secondary to wound vs other
P
-monitor overall energy, appetite
-recheck CBC in 7 days
Vet Notes: 3:49 PM
Sedated with 0.15 ml dexdomitor/0.15 ml ketamine for bandage change
-large open wound along lateral distal left hind limbs with exposure of tibia; clotted frank blood along wound, tissue around margins appears pink and health; small amount of grey, necrotic along achilles tendon but tendon appears intact; no purulent discharge
-laceration through SQ tissue adjacent to L scrotal sac, 3 stay sutures placed yesterday to oppose scrotrum to body; left side dehisced due to continued tissue necrosis causing flap; debrided area along ischial wing until bleeding was noted
A
1. Bite wounds
P
-flushed both wounds with copious amount of dilute nolvasan
-adhered flap of tissue adjacent to L scrotum to body with 3-0 Monocryl in a simple continuous pattern
-replaced bandage
-gave 150 ml SQF
-gave first dose of onsior
-replace bandage daily, there is not enough tissue in this area to close large distal wound; may heal over time by second intention but if necrosis continues, especially along achilles tendon, then consider amputation
VET 991382
16-Apr-2018
Progress Exam
Vet Notes: 10:11 AM
Presented with severe necrotic wound along distal tarsus and wounds consisted with animal bite/scratch along dorsum and near scrotum; LH was bandaged, started on convenia, baytril and simbadol
S/O
-BAR, affectionate and friendly
-ravenous appetite
-mm pk, sl tacky
-no nasal discharge or sneezing
-OU: open and clear
-superficial wounds on caudal L dorsum healing well
-partial thickness laceration to L of scrotal area; 2 stay sutures intact but suture on L side has dehisced due to mild tissue necrosis; no bleeding or other discharge in area
-bandage intact on LH with no obvious strike through; mild lameness on limb but seems more offended by bandage
A
1. Bite wounds, one severe along distal LH
2. Emaciated
P
-bandage change today
-add onsior 0.25 ml SQ SID x 3 days
-continue baytril injectable, then switch to oral
VET 991382
15-Apr-2018
DOH Vet Statement
Vet Notes: 4:20 PM
To Whom it May Concern,
David Bowie is an approximately 2 year old male, intact domestic shorthair cat that presented to MACC with wounds consistent with an animal bite or scratch. At this time, he is neurologically appropriate with no concerns of Rabies.
Sincerely,
VET 991382
15-Apr-2018
Progress Exam
Radiograph Review
Vet Notes: 4:21 PM
Radiographs of LH, pelvis-no obvious fractures or other orthopedic concerns
Vet Notes: 4:15 PM
Sedated to evaluate severe wound along distal lateral LH
-degloving injury along lateral aspect of distal left hind limb; necrotic tissue along edges of wound; exposure of lateral fibula
-partial degloving injury in subcutaneous tissue to left of scrotal area with 2 puncture wounds; small black dermal eschar extending cranially from this area, suspect will necrose
-2 superficial healing abrasions along L caudal dorsum and one small puncture wound, no significant discharge
A
1. Suspected bite wounds, large necrotic wound over distal L hind with exposure of fibula
P
-debrided necrotic tissue over distal wound, flushed copiously with dilute nolvasan; placed telfa pad with triple antibiotic ointment over wound and placed bandage
-clipped, flushed wound near prepuce; placed 3 stay sutures to oppose edges of wound but left distal aspect open in the event of drainage/prevent abscess formation
-baytril 100 mg/ml: 0.3 ml IM SID X 3 days, continue orally if eating well
-convenia 0.4 ml SQ
-gave 150 ml SQF
-gave 0.4 ml cerenia SQ
-recommend daily bandage changes initially; depending on how wound heals, may require skin graft vs amputation if infection persists
-noted to have good appetite during recovery from sedation
VET 991382
15-Apr-2018
DVM Intake
Vet Notes: 2:44 PM
DVM Intake Exam
Estimated age: 1-2 years based on dentition and secondary sex characteristics
Microchip noted on Intake? Scanned negative
History : Stray, found yesterday with fx leg – the bone was “sticking out” earlier.
Subjective: Alert, looks around quietly, allows handling
Evidence of Cruelty seen – None
Evidence of Trauma seen – Open fracture of LHL at hock
Objective
BAR, MMs pink and moist, BCS 4.5/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Clean adult teeth
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Soft, non painful, no masses palpated
U/G: Male intact, testicles S/S
MSI: Toe-touching lame LHL. 8 cm long wound – missing skin; bone, tendons and muscle are visible. Did not palpate due to pt discomfort. Small 2 cm linear abrasion on dorsum, over the spine. Skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally
Assessment: Suspect fracture of left metatarsals
Prognosis: Good
Plan:
1. Sedate with Simbadol 0.4 ml SQ, butorphanol 0.1 ml IM and Dexdomitor 0.2 ml IM
2. Rads LHL
3. CBC/chemistry/combo test
4. Consider amputation vs. surgical stabilization vs. splint, depending on rads and sedated exam
SURGERY:
**Okay for surgery IF amputation can be performed at that time. If surgical stabilization/splint is chosen, then temporary waiver due to fractured leg.
1088
Behavior
Animal Behavior Saved At: 18-Apr-2018 10:2:34.000
Animal ID:
25357
Animal Name: David Bowie
Age: 2 Years (approx)
Tag Number:
Breed: Domestic Short Hair
Gender: Male
Spayed / Neutered: No
Handler:
Observer:
Behavior Assessment Date:
4/18/2018
Retest Date:
Retest Reason:
Next Test Date:
KNOWN HISTORY:
David Bowie was brought in as a stray, so we don’t have any behavioral history or tendencies in a home environment.
MEDICAL BEHAVIOR:
4/15/18 Subjective: Alert, looks around quietly, allows handling
ENRICHMENT NOTES:
4/16/18
Multiple bite wounds. Resting on bedding, soft eyes and body. Meowed quietly when spoken to, started to roll over. Stood and came to the front when door opened, ate treats from my hand. Very focused on eating, leaned and arched into pets, purred when done.
4/17/18
Resting on bedding, soft eyes and body. Stood and immediately came forward on approach. Leaned and arched enthusiastically into pets, purred, ate offered treats. Lay down at the front after door closed.
Cage Condition:
No change
Reaction to assessor:
David engages when approached by the assessor.
Reaction when softly spoken to:
David remains soft in place.
Reaction to cage door opening:
David seeks affection, leans forward with tail up and remains at the front of the cage, soft and relaxed.
Reaction to touch:
David head-butts the assessor’s hand, purrs, and appreciates petting on the head and body.
Reaction to being picked up:
Allows the pickup and remains calm.
ACTIVITY LEVEL:
Lively
VOCAL:
Somewhat chatty
CHARACTER TYPE:
Social
Sweet
Affectionate
BEHAVIOR DETERMINATION:
Beginner
Behavior Asilomar
H – Healthy
BEHAVIOR SUMMARY:
David 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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View all entries in: Safe Cats 2018-05