DINA – A1112165
Safe - 5-19-2017 Brooklyn Rescue: Ready For Rescue Please honor your pledges: Paypal address: firstname.lastname@example.org
SAFE 5/19/17 ** Sweet Brown Tabby – DINA – NEEDS FOLLOW UP VET CARE for Fractures & Heart Murmur!
Dina – A1112165 – 2 yr. female gray tabby, stray:
Lying in front of kennel with a soft body. Remains in the front as I reach towards her and allows petting along her head while kneading her towel, eyes soft. Sweet. Limited interaction due to medical condition. Sprayed feliway.
DVM Intake Exam 5/16/17
Estimated age: ~3-4yrs, female
Microchip noted on Intake? No
History : Stray cat, finder said possible HBC but did not witness
Observed Behavior – QARH. Allowed all handling, vocalizing
Evidence of Cruelty seen – No
Evidence of Trauma seen – Yes
P = WNL R = WNL BCS 5/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: Mild dental tartar, pink mm
PLN: No enlargements noted
H/L: Grade 4/6 heart murmur, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Female, thin bloody vaginal discharge
MSI: Recumbent, palpable fracture at distal RF, no other fractures/injuries noted, bloody urine stained hind end, salivary staining at RF
CNS: mentation appropriate – no signs of neurologic abnormalities
Radiographs: Comminuted fracture of Right middle radius and ulna, no pelvic fractures
Assessment: Traumatic injury, fractured right radius/ulna; Heart murmur
Plan: Gave simbadol 0.48ml SQ. Rec continuing pain management of simbadol 0.48ml SQ q24 x 3 days
Consider surgical repair of radius/ulna vs leg amputation.
Prognosis: Good prognosis with appropriate treatment, management
Permanently waived due to heart murmur
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