GINGER – 10535
Safe - 11-4-2017 Manhattan
SAFE 11/4/17 —- 2 yr old Ginger was brought in by her owner. She is very upset at being abandoned. Ginger has a heart murmur which should have a follow up vet check.
Intake Date: 10/23/17
Intake Type: Owner surrender (DOH)
Medical Behavior: —
Age: 2 years
Weight: 6 lbs 4.8 oz
DVM Intake Exam
Estimated age: Reported 2 years old
Microchip noted on Intake?
History : Owner surrender, no health hx given
Subjective: Alert and growling
Observed Behavior – Hissing, growling, dilated eyes, attacking the carrier door when I look in. Placed in Freeman net for exam – biting the net, yowling, very angry! Defecated all over the net. Cannot examine pt!
Administered 0.08 ml Telazol IM for exam. Pt sedated after this – still growling but not moving.
BCS 5/9, BAR-H, MMs pink and moist
EENT: Eyes clear, ears clean, mild serous nasal discharge (not noted prior to sedation)
Oral Exam: Clean teeth. Some gingival abrasions near maxillary and mandibular canines and first premolars
PLN: No enlargements noted
H/L: Grade 2/6 systolic heart murmur – PMI left parasternal. NSR, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Female, intact
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally
1. Heart murmur
2. Gingival abrasions – most likely from biting the Freeman net
Prognosis: Good. Heart murmurs in cats can be a sign of heart disease but they can also be incidental findings.
Plan: Recommend consultation with cardiologist to evaluate for heart disease.
Permanent waiver due to heart murmur.
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View all entries in: Safe Cats 2017-11