GINGER – 17143
Safe - 1-11-2018 Brooklyn Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
***SAFE 01/11/18***SWEET SENIOR NEEDS LOVING RETIREMENT HOME! *NEEDS PLACEMENT ASAP* Affectionate 12 YEAR OLD, Purrbaby Senior Ginger with a crinkled ear–Needs Your Help! @BACC. Ginger is currently constipated and unable to defecate on her own. She needs follow up medical care to address this issue as soon as possible. BE HER HERO BY OFFERING TO FOSTER OR ADOPT. ONLY HAS TIL NOON TOMORROW. GIVE THIS SWEETHEART A CHANCE!!!
Brooklyn Center
Hello, my name is Ginger. My animal id is #17143. I am a female brown tabby cat at the Brooklyn Animal Care Center. The shelter thinks I am about 12 years old. – P
I came into the shelter as a aco impound on 28-Dec-2017.
Ginger is at risk for medical concerns, he is geriatric with possible underlying conditions. A full veterinary geriatric work up including blood work is strongly recommended upon placement or adoption. Ginger has been friendly in the care center and allows petting with a slow approach.
My medical notes are…
Weight: 8.78 lbs
28/12/2017
DVM Intake Exam Estimated age: ~12 years Microchip noted on Intake? negative History : stray. Has not eaten or used the bathroom in 3 days. Subjective: BAR, ~5% dehydrated. No c/s/v/d. Observed Behavior – very sweet. Easily handleable. Did well for all medical handling and procedures Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective P = wnl R = eupneic BCS 6/9 EENT: Eyes clear, ears have mild brown waxy debris with crumpled pinna AD, no nasal discharge noted Oral Exam: adult dentition with moderate dental disease, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, firm but compressible mass in caudal abdomen ~4cmx3cm U/G: FI (did not shave abdomen), no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, flaky coat, overweight CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Geriatric-suspect underlying condition Mild dehydration Moderate dental disease Mass in caudal abdomen r/o obstipation vs tumor Plan: Continue to monitor while at BACC Lateral view AXR-severe obstipation with feces taking up the majority of the abdomen in the colon, small intestines displaced caudally Place IVC and start LRS @ 60ml/kg/day until the end of day (re-start tomorrow) Start miralax 1/4 tsp PO BID Consider deobstipation tomorrow if still has not defecated Consider starting enemas tomorrow post-deobstipation Gave one dose simbadol 0.24mg/kg SQ Recheck daily Prognosis: fair SURGERY: permanent waiver due to age (rec shave at a later time to look for spay scar)
28/12/2017
[Spay/Neuter Waiver – Age] It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.
29/12/2017
Recheck – Geriatric, obstipated S/O: BAR. ~5% dehydration. Allows all handling, attention seeking. Ate small amount of wet food. One firm fecal ball outside of litterbox EENT: Nuclear sclerosis, no ocular or nasal discharge, dental disease HL: Normal heart sounds, clear lungs, purring throughout exam ABD: Non tender, large firm mass (feces) at center of abdomen, unable to manually break down INTEG: Full healthy coat MS: Ambulatory x 4 UG: Female A: Geriatric, obstipated, mild dehydration P: Deobstipation today
30/12/2017
Recheck obstipation S/O: BARH. Attention seeking. Allows all handling. No interest in food. Straining to defecate EENT: Pink mm, nuclear sclerosis, no ocular or nasal discharge HL: Normal thoracic auscultation ABD: Fecal impaction INTEG: WNL MS: Ambulatory x 4 UG: Female A: Geriatric, obstipated P: Sedated with dexdomitor 0.3ml IM and butorphanol 0.07ml IV, intubated and maintained on isoflurane. Manually broke down and removed feces. Anesthesia and recovery uneventful. Post-deobstipation radiographs show feces through proximal colon, normal in size. Good anal tone, positive contractions during deobstipation. Adding clavamox 0.9ml PO q12 x 10 days and metronidazole 0.4ml PO q12 x 7 days. Continue to monitor. Continue with LRS and miralax. Fair prognosis Patient still quiet 2 hours post deobstipation – Dull, responsive, allows all handling, areas of diarrhea in cage. Pink mm. Aniscoria (R>L), normal PLR and palpebral, no menace response. Normal thoracic auscultation. Ambulatory x 4, mild ataxia – Neurologic – R/O trauma during intubation vs underlying neurologic disease vs other
31/12/2017
Progress exam-deobstipated 12/30 History: Intake 12/28-obstipated. Started on miralax and IVF. Given one dose of simbadol. Lateral view AXR-severe obstipation with feces taking up the majority of the abdomen in the colon, small intestines displaced caudally 12/30: deobstipated. Clavamox and metronidazole added. Post-deobstipation radiographs show feces through proximal colon, normal in size. 2 hours post-deobstipation had neuro signs: Aniscoria (R>L), normal PLR and palpebral, no menace response, mild ataxia Subjective: QAR but is more responsive and walks around the room when brought out of the cage, ~5% dehydrated. No c/s/v but has multiple areas of diarrhea around cage and is straining to defecate. Is mildly ataxic with mild anisocoria. Is visual. Objective P = wnl R = eupneic BCS 6/9 EENT: Eyes clear with mild anisocoria OS>OD, ears have mild brown waxy debris with crumpled pinna AD, no nasal discharge noted Oral Exam: adult dentition with moderate dental disease, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, NMP U/G: FI, no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, flaky coat, overweight CNS: mentation appropriate, anisocoria OS>OD, positive palpebral, PLRs, menace, and dazzle. Mildly ataxic. Assessment: Neurologic – R/O trauma during intubation vs underlying neurologic disease vs other Geriatric-suspect underlying condition Mild dehydration Moderate dental disease Deobstipated 12/30 Plan: Continue to monitor while at BACC Extend miralax until 1/3 Extend LRS 100ml SQ SID x3d until 1/3 Give mirtazapine 3.75mg PO today Continue clavamox until 1/8 Continue metronidazole until 1/5 Recheck daily Prognosis: fair
2/01/2018
Progress exam-deobstipated 12/30 History: Intake 12/28-obstipated. Started on miralax and IVF. Given one dose of simbadol. Lateral view AXR-severe obstipation with feces taking up the majority of the abdomen in the colon, small intestines displaced caudally 12/30: deobstipated. Clavamox and metronidazole added. Post-deobstipation radiographs show feces through proximal colon, normal in size. 2 hours post-deobstipation had neuro signs: Aniscoria (R>L), normal PLR and palpebral, no menace response, mild ataxia 12/31: Neuro signs improved. Given one dose of mirtazapine for decreased appetite. Subjective: BARH. No c/s/v/d. Had bm on 1/1 but none today. No feces palpated in colon. Neuro signs have resolved. Very friendly and purring. Eating well. Objective P = wnl R = eupneic BCS 6/9 EENT: Eyes clear, ears have mild brown waxy debris with crumpled pinna AD, no nasal discharge noted Oral Exam: adult dentition with moderate dental disease, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, NMP U/G: FI, no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, flaky coat, overweight CNS: mentation appropriate, no neuro abnormalities Assessment: Hx neurologic – R/O trauma during intubation vs underlying neurologic disease vs other-RESOLVED Geriatric-suspect underlying condition Mild dehydration-RESOLVED Moderate dental disease Deobstipated 12/30 Plan: Continue to monitor while at BACC Last day of miralax and LRS tomorrow Continue clavamox until 1/8 Continue metronidazole until 1/5 Recheck daily Clean ears tomorrow Prognosis: fair
3/01/2018
Recheck deopstipation/neuro signs S/O: BARH. Active, attention seeking, allows all handling. Cage clean, fresh food available. Reported to have had normal and soft stool in litterbox. Shows interest in food but not observed eating EENT: Nuclear sclerosis, no ocular or nasal discharge, pink moist mm HL: Normal thoracic auscultatio ABD: Soft, non tender, small amount of normal feces palpated in colon INTEG: Slightly unkempt MS: Ambulatory x 4 UG: Female NEURO: Mentally appropriate A: Geriatric Obstipated – resolved Aniscoria – resolved P: Continue with current treatment and monitoring plan. Good prognosis
Details on my behavior are…
Behavior Condition: 1. Green
KNOWN HISTORY:: Ginger was brought into our care center as a stray so previous history is unknown.
MEDICAL BEHAVIOR:: Attention seeking. Allows all handling.
Cage Condition:: Cage is slightly re-arranged
Reaction to assessor:: Ginger is at front of her kennel as the assessor approaches, leaning in and head-butting the kennel door with her tail raised.
Reaction when softly spoken to:: Ginger Makes eye contact with soft eyes when spoken to.
Reaction to cage door opening:: Ginger remains calm in the front of her kennel as the cage door opens.
Reaction to touch:: Ginger allows petting along her head and body while leaning in, tail raised. She begins to purr.
Reaction to being picked up:: Ginger remains calm and continues to purr when picked up and held by the assessor.
ACTIVITY LEVEL:: Mellow
VOCAL:: Quiet
CHARACTER TYPE: : Social,Sweet,Affectionate,Easy going
POTENTIAL CHALLENGES:: None
BEHAVIOR DETERMINATION: : Beginner
Behavior Asilomar: H – Healthy
BEHAVIOR SUMMARY:: Ginger interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected]. Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
View all entries in: Safe Cats 2018-01