GIO – 27952
Safe - 5-16-2018 Manhattan
SAFE 5/16/18 Gio is a stray, that was reportedly hit by car. He also shows clinical signs of an URI observed at time of pick up. Gio is dehydrated, purring and kneading, allows all handling, attempts to eat soupy food but appears unable to move tongue out of mouth – using paws to bring food to his face and dipping face into food. Please help this poor boy today get the medical care that he needs.
Manhattan Center
Gio 27952
Care Center Location: Manhattan
ZIP Code From: 10025
Intake Type: Stray
Medical Behavior: Green
Age: 9 years
Sex: Male
Weight: 8 lbs
DVM Intake Exam
Estimated age: Approximately 9 years
Microchip noted on Intake?
Microchip Number (If Applicable):
History : Stray, reportedly hit by car, also URI clinical signs observed at time of pick up
Subjective: QAR, dehydrated, purring and kneading, allows all handling, attempts to eat soupy food but appears unable to move tongue out of mouth – using paws to bring food to his face and dipping face into food
Evidence of Cruelty seen – none
Evidence of Trauma seen – yes
Objective
P = wnl
R = wnl
BCS = 4.5/9
EENT: Eyes – sunken OU, scleral hemorrhage lateral OS and mild hyphema OS, crusted discharge OU. Ears mild debris AU, right pinna tip erythematous and alopecic, several areas of abrasion at temporal regions. Mild crusted nasal discharge.
Oral Exam: left mandibular canine missing, left mand premolars/mandible fractured and displaced ventrally, mild-mod dental tartar and wear on remainder of teeth, full thickness laceration at left side of tongue, tongue swollen
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs difficult to auscult clearly as purring throughout exam, but overtly clear, eupnic
ABD: Non painful, no masses palpated
U/G: Neutered male, no testicles palpated
MSI: Ambulatory x 4, skin free of parasites, no masses noted, severe prolonged skin tent, LH and RF paw pad abrasions, left lateral side – fur is discolored brown and has strong burn odor
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Externally normal
Assessment:
1. Mandibular fracture
2. Tongue laceration
3. Trauma to left side – abrasions, scleral hemorrhage and hyphema OS
4. Dehydration
Prognosis: Fair to good
Plan:
1. Whole body rads – left mand fracture at rostral aspect of left mandible, chest and abdomen unremarkable, no obvious fractures. CBC/Chem.
2. Simbadol 0.2mg/kg SQ
3. Convenia 8mg/kg SQ
4. Dex SP 0.2ml IV
4. IV cathether placed, IVF therapy started
5. Seek placement with NH. Recommend fracture repair.
6. Continue to monitor while at MACC
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View all entries in: Safe Cats 2018-05