DIJON – 8819
Safe - 10-10-2017 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
*** SAFE 10/10/17 *** SECOND CHANCE!! DIABETIC!! DIJON is a sweet senior boy that needs medical care ASAP. Please help this handsome senior by opening up your heart and home. He will be forever grateful.
Manhattan Center
*DIABETIC*
Hello, my name is Dijon. My animal id is #8819. I am a male white cat at the Manhattan Animal Care Center. The shelter thinks i am about 12 years old. – P
I came into the shelter as a stray on 04-Oct-2017.
My medical notes are…
Weight: 7 lbs
Microchip: negative-placed chip Sex:male intact Age 5 years dehydration underweight not able to walk on hind legs as per Dr 1382 give 100 LRS SQ and .3 cerenia Ears:ear mite negative Nose:no discharge Teeth: moderate dental tartar If abnormal BCS:3/9 Hair Coat:flea comb negative Declawed:no Behavior: relaxed during exam
Details on my behavior are…
Behavior Assessment Date: 10/7/2017 Retest Date: Retest Reason: Next Test Date: KNOWN HISTORY: Dijon was brought in as a stray, so we don’t have any behavioral history or tendencies in a home environment. ENRICHMENT NOTES: Resting on bedding, face in litter box, soft eyes and body but seems lethargic. Slowly lifted head when touched, leaned into pets, purred quietly. Started eating after some encouragement. Cage Condition: No change Reaction to assessor: Dijon remains neutral, lying down on his cage bedding during the approach. Reaction when softly spoken to: Dijon remains immobile i n place. Reaction to cage door opening: Dijon becomes alert with soft eyes, ears erect and forward. Reaction to touch: Dijon accepts the touch, purrs and appreciates the petting on the head and body. Reaction to being picked up: Unable to perform do to medical condition. ACTIVITY LEVEL: Laid back VOCAL: Quiet CHARACTER TYPE: Sweet Affectionate BEHAVIOR DETERMINATION: Average Behavior Asilomar H – Healthy BEHAVIOR SUMMARY: Dijon 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.
Average
Estimated age:12-14 years Microchip noted on Intake? History :stray cat found outside of building; seemed weak and had difficulty walking Subjective:QDR Observed Behavior -seems lethargic but overall docile and allows handling; great appetite Evidence of Cruelty seen -n Evidence of Trauma seen -n Objective BCS=2/9 EENT: OU-cataracts, iris atrophy, decreased-absent PLR; no nasal discharge; AU-clean Oral Exam:mm pale pk, tacky; moderate to severe tartar/staining PLN: No enlargements noted H/L: intermittent gallop arrhythmia, no murmur noted; eupnic, lungs clear ABD: soft, nonpainful, doughy; no palpable abnormalities U/G:male intact, 2 scrotal testicles MSI/CNS: ambulatory x 4 with plantigrade stance and mild ataxia in hind limbs, normal withdrawal x 4 diffuse muscle wasting unthrifty coat Rectal:appears grossly normal CBC-moderate to severe, non-regenerative anemia (21%) Chemistry-severe hyperglycemia, severely elevated BUN (121), creat 1.8, mild to moderate hyperphosphatemia (11.3) Assessment Diabetes mellitus Plantigrade stance-likely secondary to DM Muscle wasting-likely secondary to uncontrolled DM Prognosis:fair Plan: Placed IVC, LRS @ 10 ml/hr Cerenia 0.4 ml IV SID Glargine insulin 1 U SQ BID Recommend BG curve in 7-10 days SURGERY: permanent waiver due to geriatric/diabetes mellitus
Recheck for symptoms of chronic illness – DM, muscle wasting/dehydration, non-regenerative anemia S/O: Quiet, resting in cage – eating soft food + drinking well – IV fluid line intact/running at 10 mls/hr – dirty coat, needs grooming – feces stuck in tale A: condition stable P: cont. with current tx – groom
Recheck for symptoms of chronic illness – DM, muscle wasting/dehydration, non-regenerative anemia S/O: Quiet, resting in cage – e/d u/d ok – IV fluid line intact/running at 10 mls/hr A: condition remains the same, stable P: cont. with current tx
Hx: dx with diabetes mellitus on intake; started on glargine 1 U BID and IVF at 10 ml/hr; fluids d/c overnight due to error on machine S/O great appetite normal stool in cage QAR, docile, friendly; allows all handling mm lgt pk, sl tacky; moderate to severe staining OU-cloudy lens; mild crusting black d/c at medial canthus eupnic, grade II parasternal heart murmur borborygmus noted; abdomen soft and nonpainful with no palpable abnormalities diffuse muscle wasting reluctant to walk but ambulatory x 4 with plantigrade stance in hindlimbs A diabetes mellitus, muscle wasting, plantigrade stance borborygmus-possible mild concurrent pancreatitis? P Restart IVF at 8 ml/hr Cerenia 0.3 ml IV SID Rec’d BG curve in 7-10 days
Diagnosed with diabetes shortly after intake; started on IVF, cerenia and insulin 1 U BID; yesterday had good appetite and had normal bowel movement in the morning but episode of pudding consistency diarrhea later in the day; IVF running at 8 ml/hr S/O no obvious appetite this morning QAR, seems less energetic today; docile, allows handling mm pk, sl tacky no nasal discharge or sneezing eupnic, grade II parasternal heart murmur abdomen soft initially but tenses occasionally, hunched appearance A Diabetes Inappetance-new, r/o pancreatitis vs DKA vs other Diarrhea-r/o pancreatitis vs other Plantigrade stance P Continue IVF Metronidazole 50 mg/ml: 1 ml PO BID x 7 days Due for cerenia this morning, will give that and a dose of simbadol and then try to feed again; hold off on insulin until eating prognosis: guarded to fair; suspect concurrent pancreatitis over DKA but will want to monitor energy, appetite closely
Noted to be inappetant with some abdominal comfort this morning, held off from insulin; gave AM dose of cerenia and added simbadol and metronidazole for suspected pancreatitis; this afternoon he appeared brighter and more active with a great appetite when offered k/d (best out of current diet options in shelter); had episode of diarrhea last night but none today Assessment-suspect concurrent mild pancreatitis Plan-CWCT
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