INKO – 15812
Gone - 12-13-2017 Manhattan
GONE 12/13/17 *NEEDS IMEDIATE VET CARE* Poor Inko has some head trauma and a jaw fracture, and urgently needs some help @MACC
Manhattan Center
Inko 15812 2Y Gray Tabby S DSH
Stray: 12/9/17
Medical:
10-Dec-2017
DVM Intake
Vet Notes: 10:03 AM
DVM Intake Exam
Estimated age:3-5 years
Microchip noted on Intake? neg
History :cat found in middle of street, suspect hit by car; ear tipped AS
Subjective:QDR
Observed Behavior – docile, allows handling but seems very painful, mews softly with handling
Evidence of Cruelty seen -n
Evidence of Trauma seen -moderate to severe facial swelling, bloody nasal discharge, traumatic conjunctivitis
Objective
BCS 5/9
EENT:
OU-moderate blepharospasm, bleparitis, elevated 3rd eyelid; OS-miotic, pupil appears vertical, absent PLR; OD-PLR present but decreased
moderate bloody nasal discharge, nasal congestion
Oral Exam:mm pale pk, tacky; swelling of soft palate but no obvious instability; palpable symphyseal crepitus/instability; moderate to severe swelling of tongue; blood tinged hypersalivation; severely fractured upper L canines, missing lower R canine
PLN: No enlargements noted
H/L: intermittent gallop arrhythmia, mild inspiratory dyspnea, decreased lung sounds dorsally with referred upper airway noise ventrally
ABD: Non painful, no masses palpated
U/G: female, suspect spayed
MSI: ambulatory x 4 with no obvious lameness or ataxia; coat overall healthy and clean
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal:depressed mentation but alert/responsive; no ataxia noted; CP/withdrawal intact x 4
Assessment
1. Head trauma, symphyseal fracture
Prognosis:fair
Plan:
Hydromorphone 0.15 ml SQ, 0.12 ml midazolam SQ for catheter and radiographs
Placed IVC, gave 50 ml bolus then continue at 15 ml/hr
hyperventilation noted with hydromorphone, will d/c and give simbadol this afternoon
SURGERY:
VET
10-Dec-2017
Tech Exam
L V T Notes: 9:41 AM
RF cephalic 22g catheter placed. Running a bolus of LRS/ 50ml over 30 minutes.
LVT
10-Dec-2017
9-Dec-2017
LVT Intake
L V T Notes: 8:17 PM
HBC – cat appeared stable except for potential head trauma. There appeared to be no injury to front or hind limbs or abdomen.
Cat is congested, bleeding at nose and mouth –
could see upper left canine was broken, and bottom right canine was missing. Right pupil was normal but left pupil was a vertical slit. N
Spoke with on-call vet ad was instructed to gave pain meds Onsior 0.3 mls; (didn’t have access to simbadol.) Gave fluids SQ – LRS 125 mls.
LVT
9-Dec-2017
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: Gone Cats 2017-12