HOPE – 26835
Safe - 5-18-2018 Manhattan Rescue: Brooklyn Animal Action Please honor your pledges: http://www.brooklynanimalaction.org/
SAFE 5/18/18 <<6 Month in home quarantine>> Hope came to us as a stray and has bites of unknown origin. Hope requires a 6 month in-home isolation with vet visits for the first 4 months and phone calls to NYC DOH thereafter. If leaving the 5 boroughs, quarantine MUST be approved by the receiving city or township DOH. Please note, the 5 boroughs are easier for in home quarantine.
Hope came to ACC after having a hard outdoor life, coming in with bite wound on one of his feet. Despite that he has been absolutely as sweet as pie during his stay with us and soaks up all the attention he can get! Hope is ready to find a big comfy couch he can call his own and leave the outdoor life behind.
Care Center Location: Manhattan
ZIP Code From: 11433
Intake Type: Stray
Medical Behavior: Blue
Age: 4 years
Sex: Neutered male
Weight: 8 lbs
Vet Notes: 1:04 PM
-QAR/BAR, docile and affectionate
-diarrhea reported overnight
-mm pk, tacky; CRT <2 sec
-no nasal discharge or sneezing, OU: open and clear
-eupnic, clear lung sounds, no murmurs/arrhythmias
-RH: toe touching lameness; exam similar, distal limb is severely edematous; tissue appears viable but is starting to look darker along plantar aspect of digits
1. Bite wounds, RH, persistent swelling
2. FIV positive
-concern for poor perfusion in limb causing persistent edematous swelling; amputation is likely the best course of action
-extend clavamox drops: 0.5 ml PO BID X 10 days
-fortiflora SID x 5 days
-if diarrhea persists, then consider fecal float +/- metronidazole
L V T Notes: 11:49 AM
Hope was scheduled for an AM Tx of Simbadol (1.8 mg/mL)
Administered 0.4 mL SQ from bottle number 92 at 8:57 AM
L V T Notes: 11:47 AM
L V T Notes: 12:50 PM
Combo test-FIV positive
Vet Notes: 12:27 PM
Bite wounds to RH, on clavamox and simbadol; has 3 days of onsior and IVF
-BAR, friendly and easy going
-mm pk/lgt pk, moist
-no nasal discharge or sneezing
-OU: 3rd eyelid sl elevated secondary to simbadol
-soft, nonpainful abdomen
-RH: severe edematous swelling of distal limb/paw; non weight bearing lameness; superficial sensation present
1. Bite wounds, persistent severe swelling
-restart onsior 6 mg PO SID x 3 days
-baytril 100 mg/ml oral suspension: 0.4 ml PO SID x 10 days
-100 ml SQF EOD x 7 days
Vet Notes: 1:45 PM
BAR, very active and friendly in kennel. trying to escape when kennel door opened.
P pulled out IV catheter twice in the past 12 hours.
-Euhydrated; no prolonged skin tent. MM are moist; difficult to assess MM due to P activity level
– Firm edematous swelling of the R PL.
-E/D well in kennel.
DOH V – R PL
Remove IV catheter
Simbadol 0.24 mg/kg SQ
Onsior 2mg/kg SQ
L V T Notes: 1:40 AM
Cat slipped IVC to a SQ position where a clot was backing up into the IV line. Pulled IVC and placed a fresh IVC (24g due to persistent dehydration) into LFL and continued fluids at 10ml/h.
Vet Notes: 1:54 PM
DOH V, RHL
BAR, very friendly on exam; very active. tries to escape from kennel.
Oral dc 2/5; pd 2/5
R pelvic limb is firmly edematous, non painful. Ulceration of the foot pad of digit #5.
DOH V, right hind limb. — edematous R PL
Continue with current plan:
LRS IVF at 10ml/hr for 24hrs
Unasyn 20mg/kg IV TID for 5 days
Simbadol 0.24 mg/kg SQ for 5 days
Onsior 2mg/kg SQ for 3 days
DOH Vet Statement
Vet Notes: 2:35 PM
May 5th 2018
Linda Ing, DVM
NYC Department of Health and Mental Hygiene
Office of Veterinary Public Health Services
Direct Tel: (646) 364-1757
Main Tel: (646) 364-1783
To Whom it May Concern
This letter is concerning Hope (26835) a 4 year old male neutered Domestic Shorthaired. Hope was admitted to MACC with abscessed wound to R hind leg. This injury is consistent with bite wound of unknown origin.
Dr. Scott Zaari
Vet Notes: 2:14 PM
DVM Intake Exam
Estimated age: 4
Microchip noted on Intake? yes
Microchip Number (If Applicable):
History : Former SCP CAT
Subjective: DOH BITE
Observed Behavior – QAR
Evidence of Cruelty seen – n
Evidence of Trauma seen – n
T = 100
R = wnl
BCS = 3.75/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: UR
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Neutered male
MSI: Right hindlimb lameness. Severe swelling of the right hind limb from the level of the knee to the meta-tarsals. Severe deep wound along the dorsal aspect of the paw suspected secondary to a BITE.
Wound is 3-4 days old with most of it healing over and or showing signs of necrosis.
Withdrawal reflex present
Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Abdominal xrays – reduced abdominal detail likely secondary to emaciation. No signs of internal trauma
Thoracic xrays – no signs of internal trauma
MSK – no signs of fractures. Severe soft tissue swelling noted on the high right hind
Assessment – Traumatic injury to the hind-right leg suspected secondary to a bite
+IVF at 10ml/hr for 48hrs
+Unasyn 20mg/kg IV TID for 5 days
+Simbadol 0.24 mg/kg SQ for 5 days
+Onsior 2mg/kg SQ for 3 days
L V T Notes: 10:40 AM
Sedated by 1493 for x-rays.
Radiographs of abdomen, RHL, and chest taken.
Placed a 24g IVC in the RFL, running sodium chloride 0.9% at 10ml/hour.
L V T Notes: 8:07 AM
[LVT Intake Exam]
Microchip Scan: negative, placed
Evidence of Cruelty: no
Observed Behavior: allowed all handling, somewhat shut down
Sex: neutered male (recent, shave area still new and glue still on tattoo site)
Estimated Age: appx 3-4y
Subjective: large swelling taht extends past stifle over RHL with small puncture near one digit and possibly near tarsal joint, painful and will secrete serosanginous d/c when palpated, warm to the touch; dehydrated
Ears: left ear tip
Oral Exam: mild staining
Musculoskeletal: WNL BCS 5/9
Mentation: dull but responsive
Preliminary Assessment: bite wound vs other injury
Plan: oncall DVM rec 0.5ml simbadol SQ once, 0.48ml clavamox (BIDx7d), and 150ml LRS SQF, clip and clean in morning
Hope was brought in as a stray, so there is no information on their behavior history or tendencies in a home environment.
Very friendly on exam; very active. tries to escape from kennel.
Hope is in rough shape and on IV fluids so I did a minimal interaction with him. He is resting in his litterbox, body and eyes fairly soft. He responded to my talking by looking up and making eye contact.
Resting on bedding, soft eyes and body. Lay in place, ate offered treats, then started eating wet food. Came forward when door opened, head-butted, leaned and arched into pets, purred. Very wobbly when standing.
Sitting up on bedding towards front, soft eyes and body. Stood when door opened. Head-butted, leaned and arched into pets, lifted rear for butt scratches, purred. Sat calmly when held. Ate offered treats after door closed.
Cage is neat
Reaction to assessor:
Hope was resting, but looks at the assessor with soft eyes.
Reaction when softly spoken to:
Hope continues to make eye contact and has a soft body posture.
Reaction to cage door opening:
Hope stood up and greets by the opening, head-butting the assessor.
Reaction to touch:
Hope leaned and arched in for pets, purring and lifting her rear so much she almost falls over.
Reaction to being picked up:
Hope sat calmly when held.
H – Healthy
Hope interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. No known history of behavioral problems. This cat can go to a beginner home.
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