HAROLD – A1106134
Safe - 3-26-2017 Manhattan
SAFE 3/26/17 FIV POSITIVE HAROLD hopes to find a happy home Meet this handsome fella at MACC
Manhattan Center
FIV POSITIVE
HAROLD – A1106134
MALE, BRN TABBY, DOMESTIC SH,5 yrs
STRAY – ONHOLDHERE, HOLD FOR DOH-B Reason BITEPEOPLE
Intake condition ILLNESS Intake Date 03/13/2017, From NY 10470, DueOut Date 03/23/2017,
Medical:
3/18
S/O: BAR, meowing, wants attention- sweet cat, loves to be pet, wants to be fed, ate food well yesterday when offered
normal stool in litterbox
EENT: sounds mildly congested, sneezed, scant mucopuruent d/c on nares, oral cavity not examined
A: URI, congestion mild
FIV positive
h/o oral tongue ulcer
P: con’t with doxycyline
add on nebulization BID x3 days
recheck URI and tongue ulcer in 2days
prognosis: fair to good
rec cbc/chem/fecal OPG/ua as general health screen for adult FIV positive cat. Also rec keep indoors only, as sole cat, and ensure vaccinations and preventative care is always up to date. FIV cats can live long lives, but are prone to infection and illness because of their compromised immune system. For this reason preventative care and addressing health concerns are important.
3/4
Hx: Noted to be looking sick on rounds
S: Calm, allows all handling
O: BAR-H, BCS 5/9, MMs pink
EENT: Moderate purulent creamy discharge from nose and from front of mouth – discharge is caked on lower lip and on front legs. Large superficial ulceration on nasal planum. Clean ears and eyes.
PLNs: Right mandibular LN is subjectively enlarged compared to left.
H/L: Possible mild heart murmur grade 1-2/6. Referred upper airway sounds.
Abd: Soft, no pain on palpation, no masses palpated
M/S/I: Amb x4. Brown crusty discharge caked onto front and hind legs. No skin lesions noted.
UG: Male intact, testicles soft and symmetrical.
A:
1. URI, nasal ulceration
2. FIV
3. Possible mild heart murmur
Short-term prognosis: Fair
SURGERY: Temporary waiver for URI.
P: Start doxycycline 1 ml PO SID x10 days, move into isolation
3/13
DVM Intake Exam Findings
History stray
Subjective
Observed Behavior – allows handling bu tail flicking
Evidence of Cruelty seen – n
Evidence of Trauma seen – n
Objective
BCS 5/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: ptyalism, tongue ulcer (mild) central tongue
PLN: enlarged SMLN
H/L: heart murmur 2/6, increased UR noise , seems to be referrred upper airway
ABD: abdomen has fluidy feel
U/G: intact 2 testes
MSI: ratty hair coat
CNS: mentation appropriate – no signs of neurologic abnormalities
strong FIV positive test
Assessment
FIV (symptomatic)
heart murmur
possible calicivirus
Plan:
seek NH placement
guarded long term prognosis
Enrichment:
3/15/17
FIV+, heart murmur, URI, possible calicivirus. At the front, looking around with soft eyes and body. Ate offered treats, head-butted, leaned and arched into pets, and purred.
3/16/17
Still hoarse/sniffly, but still very attention-seeking. Came to the front on approach, soft eyes and body. Leaned and arched into pets, purred. Stayed at the front after door closed, meowed.
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View all entries in: Safe Cats 2017-03