DEBBIE – A1106121
Gone - 3-18-2017 Manhattan
***GONE 03/18/17*** SWEET DEBBIE HAS ASTHMA AND NEEDS A SPECIAL ADOPTER TONIGHT!! “Meet Debbie: This pretty gal is currently experiencing respiratory distress. The DVM believes it could be an asthma flare up. Please help this gal in need!”
Manhattan Center
My name is DEBBIE. My Animal ID # is A1106121. – P
I am a female brn tabby domestic sh mix. The shelter thinks I am about 5 YEARS old.
I came in the shelter as a STRAY on 03/13/2017 from NY 10459, owner surrender reason stated was STRAY.
03/17/2017 AT RISK MEMO
Debbie A1106121 was placed At Risk for Asthma. Please see medical notes for more information.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
03/17/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 9.0 LBS.
3/17/17 S/O: resting sternally recumbent, urine and feces in litterbox, reported to be eating well very friendly, rolled over belly up when examined- started to purr RR=30 at rest EENT: pink gums H/L: no m/a, referred upper respiratory sounds asculted, mildly increased lung sounds bilaterally, increased RE at rest M/S: amb x4, BCS 5/9 A: r/o asthma, upper airway disease, other; thoracic radiographs taken 3/13/17 demonstrated pattern suggestive of feline asthma P: dexamethasone 0.2ml IM 8:20AM when prednisolone available, can switch to prednisolone 2mg PO SID x5 then EOD x5, con’t theophylline, once asthma better under control switch to inhalant daily if p tolerates +/- theophylline. rec low dust litter, CBC/chem as general health screen plus to monitor if ok for oral steroids, can also consider Knott’s test to r/o HWD and stool test to check for lungworms (less likely, but if want complete dx’s to r/o other causes of dyspnea) prognosis: fair, need to get breathing under control 03/16/17 09:24 S/O: brief re-exam eating well hydrated EENT: no discharge CV: NMA, S&S pulses, pink moist mm Resp: dyspnic, orthopnic, abd effort and audible wheeze on expiration, inspiratory stertor Abd: SNP MS: BCS 5/9 Neuro: QAR, no obvious neuro deficits A: asthma P: cwct 0.15ml Dexamethasone IM (3mg) px: fair short term and long term 3/15/17 Hx: Friendly feral, fed but lives outside. Increased resp difficulty over past week. Intake exam 3/13/17 – severe dyspnea, abdominal excursions, inspiratory and expiratory sounds. Gave 4 mg dexamethasone SQ at intake, started theophylline ER on 3/14/17. Respirations have improved. S: Calm, allows most handling O: BAR-H, BCS 6/9, MMs pink EENT: Clean eyes and nose. Mild tartar. PLNs: Not enlarged. H/L: RR 30 breaths/min. Increased lung sounds and increased resp effort – abd excursions. Audible inspiratory and expiratory lung sounds. Abd: Not palpated M/S/I: Amb x4. No skin lesions noted. A: Asthma – worsening respiration this morning Short-term prognosis: Fair SURGERY: Temporary waiver for asthma P: 1. Administered 0.15 ml dexamethasone (0.3 mg) IM at 8:40 am this morning 2. Continue theophylline ER 50 mg per cat at night, starting tonight, likely indefinitely 2. Continue monitoring respiration rate/effort 1088 —-
03/15/2017 PET PROFILE MEMO
03/15/17 12:52 No handling due to nature of intake.
WEB MEMO
No Web Memo
03/15/2017 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
KNOWN HISTORY: Debbie was brought in as a stray, so we cannot speak to her behavior in her previous home. She was receptive to all handling during intake and did not display any signs of aggression. MEDICAL BEHAVIOR: Tries to run when handled, severe resp distress ENRICHMENT NOTES: Laying down on approach, soft eyes and body, some wheezing audible. Sat up when door opened, leaned and arched into pets, and purred. EVALUATION: Cage Condition: Cage is neat Reaction to assessor: Debbie is laying down on approach, looks at the assessor with soft eyes. Reaction when softly spoken to: Debbie continues to look at the assessor with soft eyes. Reaction to cage door opening: Debbie sits up, remains calm and relaxed. Reaction to touch: Debbie leans and arches into the stroke, begins to purr and knead in place. Reaction to being picked up: Debbie jumps calmly back into the kennel and immediately resumes soliciting attention. ACTIVITY LEVEL: Mellow VOCAL: Quiet CHARACTER TYPE: Calm, Sweet, Affectionate BEHAVIOR SUMMARY: Average Debbie interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
03/13/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
03/13/17 18:05 respiratory distress improving significantly since intake (no logner open mouth breathing, but continued dyspnea and abd effort) Removing recommendation for 6pm deadline to leave. monitor in medical overnight, re-evaluate tomorrow 03/13/17 15:33 DVM Intake Exam Findings scan neg 5yo FI DSH History stray was being fed in neighborhood by finder Subjective Observed Behavior – tries to run when handled, severe resp distress Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective T = P = 180 R = 30 BCS 6/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: no lesions, pink moist mm, moderate dental calculi on PMs PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, dyspnic open mouth breathing, severe insp stertor, wheeze and abd effort on expiration ABD: Non painful, no masses palpated U/G: female MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: no obvious abnormalities Rectal: not done Assessment resp distress (r/o asthma vs pleural dz vs pulmonary dz vs other) Plan sedated with 0.09ml Butorphanol & 0.04ml Dexdorm IM no effect within 15 min, 0.09ml additional Butorphanol IM Rads: DV, VD R lateral and L lateral whole cat = no rib fratures, moderate bronchial pattern, no pleural effusion; gas in stomach and intestines, enalrged spleen, bladder not visible 4mg (2ml) Dexamethasone (2mg/ml) SQ given at 4pm 0.9ml Baytril SQ if no response, r/o tracheal obstruction vs other dz NH placement by 6pm tonight
03/17/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
3/17/17 S/O: resting sternally recumbent, urine and feces in litterbox, reported to be eating well very friendly, rolled over belly up when examined- started to purr RR=30 at rest EENT: pink gums H/L: no m/a, referred upper respiratory sounds asculted, mildly increased lung sounds bilaterally, increased RE at rest M/S: amb x4, BCS 5/9 A: r/o asthma, upper airway disease, other; thoracic radiographs taken 3/13/17 demonstrated pattern suggestive of feline asthma P: dexamethasone 0.2ml IM 8:20AM when prednisolone available, can switch to prednisolone 2mg PO SID x5 then EOD x5, con’t theophylline, once asthma better under control switch to inhalant daily if p tolerates +/- theophylline. rec low dust litter, CBC/chem as general health screen plus to monitor if ok for oral steroids, can also consider Knott’s test to r/o HWD and stool test to check for lungworms (less likely, but if want complete dx’s to r/o other causes of dyspnea) prognosis: fair, need to get breathing under control 03/16/17 09:24 S/O: brief re-exam eating well hydrated EENT: no discharge CV: NMA, S&S pulses, pink moist mm Resp: dyspnic, orthopnic, abd effort and audible wheeze on expiration, inspiratory stertor Abd: SNP MS: BCS 5/9 Neuro: QAR, no obvious neuro deficits A: asthma P: cwct 0.15ml Dexamethasone IM (3mg) px: fair short term and long term 3/15/17 Hx: Friendly feral, fed but lives outside. Increased resp difficulty over past week. Intake exam 3/13/17 – severe dyspnea, abdominal excursions, inspiratory and expiratory sounds. Gave 4 mg dexamethasone SQ at intake, started theophylline ER on 3/14/17. Respirations have improved. S: Calm, allows most handling O: BAR-H, BCS 6/9, MMs pink EENT: Clean eyes and nose. Mild tartar. PLNs: Not enlarged. H/L: RR 30 breaths/min. Increased lung sounds and increased resp effort – abd excursions. Audible inspiratory and expiratory lung sounds. Abd: Not palpated M/S/I: Amb x4. No skin lesions noted. A: Asthma – worsening respiration this morning Short-term prognosis: Fair SURGERY: Temporary waiver for asthma P: 1. Administered 0.15 ml dexamethasone (0.3 mg) IM at 8:40 am this morning 2. Continue theophylline ER 50 mg per cat at night, starting tonight, likely indefinitely 2. Continue monitoring respiration rate/effort 1088 —-
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