GIUSEPPE – 25336
Safe - 4-18-2018 Brooklyn
SAFE 4/18/18 GIUSEPPE is a 3 month old kitten who is not feeling very well. He needs further medical tests to determine what the cause may be. This little kitten is purring and friendly – and needs follow up care asap.
BROOKLYN CENTER
Giuseppe 25336
Care Center Location: Brooklyn
ZIP Code From: 11208
Intake Type: Stray
Medical Behavior: Green
Age: 3 months
Sex: Male
Weight: 3 lbs 11.84 oz
DVM Intake Exam
Estimated age: 3 months
Microchip noted on Intake? no
Microchip Number (If Applicable):
History : stray
Subjective:
Observed Behavior – purring, friendly
Evidence of Cruelty seen – no
Evidence of Trauma seen – no
Objective
T = 98.5F
P = 160bpm
R = wnl
BCS 5/9
CRT: <2s. Gums: pink, moist
S: QAR, normal hydration
Eyes: Third eyelids raised OU, no discharge
Ears: Unremarkable AU.
Nasal Cavity: No nasal discharge.
Oral Cavity: deciduous dentition.
PLN: WNL
Heart: No murmurs or arrhythmias. Pulses adequate and synchronous.
Lungs: Eupneic, lungs clear. No crackles or wheezes bilaterally.
Abd: Soft, non-painful. No palpable masses. No organomegaly appreciated.
U/G: intact male with two descended testicles. No discharge.
Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Mild to moderate generalized ataxia noted
Integument: Otherwise unremarkable haircoat.
Neuro: QAR/dull. CP WNL x4. Menace response and palpebral reflex WNL OU.
Rectal: Not performed. Externally normal.
Assessment
1) Dull mentation, ataxia- given patient’s age and being an outdoor cat (stray) top differentials would be infectious (toxoplasmosis vs FIV/FelV vs panleukopenia vs FIP) vs trauma vs congenital structural disease. Metabolic causes (electrolyte disturbance, hypoglycemia, liver/renal disease) is possible, but considered less likely. Less likely differentials include neoplasia, inflammatory meningitis.
Prognosis: fair to guarded
Plan:
Fluorescin stain- negative OU
CBC/Chem performed- unremarkable (Hct 27, though kittens normally have a lower hematocrit than adults)
Unable to perform parvo test as no feces
Administered 50mls LRS SQ once
Transferred to medical
Recheck tomorrow- perform parvo test? Consider toxo PCR if no improvement
SURGERY:
Temporary waiver due to medical
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View all entries in: Safe Cats 2018-04