FALAFEL – 30531
Urgent - Manhattan
Why go to the halal cart when you can get Falafel at MACC? FALAFEL is a 4 yr old purring kitty whose owner surrendered to the shelter. She has a healing wound on her neck and needs a good home.
Intake Date: 6/7/18
Intake Type: Stray
Medical Behavior: Green
Age: 4 years
Original Location: 10026
L V T Notes: 7:56 AM
Falafel was scheduled for an AM Tx of Simbadol (1.8 mg/mL)
Administered 0.6 mL SQ from bottle number 107 at 7:32 AM
Post Op Exam
Vet Notes: 10:33 AM
1 day post-op recheck OVH with pyometra,. Currently on LRS fluids 10ml/hr IV, 2.9ml unasyn IV q8h, robenacoxib and simbadol.
BAR, eating in kennel. Enjoys being pet! Allowed all handling for exam.
Incision site is clean and dry with no discharge. Wound along L shoulder is clean and dry with no discharge.
post op pyometra, OVH
wound along L shoulder
remove IV catheter at end of day
Begin clavamox 62.5mg/ml — give 1.45ml PO q12h x 4 days
continue to monitor post operatively
Blood Work Interpretation
Vet Notes: 4:41 PM
CBC/Chem: marked neutrophilia, nosf
r/o from pyometra vs other
Vet Notes: 4:35 PM
Presurgical exam and sx notes:
BARH BCS 7/9
– no c/s v/d observed/reported
EENT: clean/clear, nsf
Oral Exam: mild tartar
PLN: No enlargements noted
H/L: NSR, NMA; Lungs clear, eupneic; nsf
ABD: mildly distended abdomen, large bladder, overweight
U/G: intact female, mod. purulent vaginal discharge
MSI: amb x 4, skin free of parasites, large ~ 4-5 cm healing/scabbing wound with surrounding scar tissue between shoulders
CNS: mentation appropriate â€“ no signs of neurologic abnormalities
Rectal: externally normal
A: healing skin wound, pyometra
CBC/Chem: marked neutrophilia r/o pyometra vs other
Sx Notes: mod. distended uterine horns/body = pyometra, nosf: Ventral midline incision approach; each ovarian pedicle and broad ligament were auto-ligated and excised distal to ligatures; uterine body ligated with modified-Miller’s encircling ligature and L/R ligatures around uterine vessels then excised distal to ligatures; body wall closed with simple continuous pattern using 3-0 Monocryl; subcutaneous/intradermal layers closed with continuous pattern using 3-0 Monocryl; green-ink tattoo placed lateral to spay incision; surgical glue applied to skin incision and over tattoo site to assist with closure
P: post-op pain meds scheduled
+ cont. LRS @ 10 ml/hr for next 24 hrs
+ Unasyn 2.9 ml IV TID for 24 hrs
+ reassess condition and need for cont. tx
Medical Assistant: 1:27 PM
Ketamine 100mg/mL injectable, 0.22 mL IM, once at 12:08 pm
Dexdomitor 0.5mg/mL injectable, 0.08 mL IM, once at 12:08 pm
Butorphanol 10mg/mL injectable, 0.08 mL, IM once at 12:08 pm
Unasyn 30 mg/ml injectable, 2.9 ml, IV once, given pre-operatively.
Cerenia 10 mg/ml injectable, 0.4 ml, IV once, given pre-operatively.
Size 3.5 fr. ET tube placed, maintained general anesthesia throughout procedure on variable Isoflurane and O2. Used non-rebreathing system with 0.5 L bag.
24 g IVC placed in LF cephalic vessel. Intraoperative LRS run at 44 mL/hr.
Simbadol 1.8mg/mL injectable, 0.6 mL SQ, once, for post operative pain relief, given pre operatively.
Extubation time at 1:09 pm
Start 0.6 ml simbadol 1.8 mg/ml sid sq x 2 days.
Vet Notes: 4:06 PM
S/O – Reported to have blood in litter box.
On rounds examination, patient has purulent discharge, scalding and erythema on the skin around the vulva and caudal abdomen.
Superficial wound on dorsum treated on intake
Pt sensitive on examination of this area
A – Rule out Pyometra vs vaginitis vs UTI vs Pyoderma
– IVF fluids @ 10 ml/hr
– Already currently on Convenia
– Add nosorb to kennel and schedule patient for urinalysis
– Schedule Onsior 2mg/kg SID SQ for 4 days
Schedule for June 9th 2018
– Sedate examination including shave area and clean
+/- Spay Sx
Vet Notes: 5:22 PM
Nervous but allowed all handling, purring, she did great
Clear OU/AU, nndc
OP 2/4 tartar
H/L reg, no obvious murmur, ssp, lungs clear/eupenic, no c/s
MSK amb x 4
Integ 6 cm scabbed over healing wound on neck, no active discharge or bleeding, she seems comfortable, otherwise wnl
UG f/i, no obvious spay scar or tattoo
P:Cleaned wound with dilute chlorhexidine
Applied silver sulfadiazine cream
Gave convenia 8 mg/kg SQ
No other tx needed
Ok for surgery
Falafel was brought in as a stray so we cannot speak to her behavior in her previous home.
Nervous but allowed all handling, purring, she did great
6/8/18 Crouched position in the cage cubby, facing the back, head turned towards the front, sniffs the hand, lip licks in place and slowly leans into the petting.
Cage is neat
Reaction to assessor:
Falafel rests in her cubby, looking at the assessor with soft gaze and posture.
Reaction when softly spoken to:
Falafel lays in place, still looking at the assessor.
Reaction to cage door opening:
Falafel stands and comes to the front.
Reaction to touch:
Falafel leans and arches in the stroke and purrs loudly.
Reaction to being picked up:
Falafel stiffens in place, but allows the pickup.
H – Healthy
Falafel 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.
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