IYSIS – A1108104
Gone - 4-7-2017 Brooklyn
GONE 4/7/17 — 12 year old cat was dumped for “personal problems”. She was said to have a history of vomiting – needs eval for any serious issues as abdomen is distended. Lab/xrays pending.
IYSIS – A1108104
FEMALE, WHITE, DOMESTIC MH MIX,12 yrs
OWNER SUR – EVALUATE, NO HOLD Reason PERS PROB
Intake condition UNSPECIFIE Intake Date 04/06/2017, From NY 11226, DueOut Date ,
Medical Behavior Evaluation RED
Medical Summary 04/06/17 History – Brought in by owner. Owner noted she has been vomiting daily, with an increased appetite. No medical care was sought. F, approx. 12 yrs, microchip scan neg. Subjective Observed Behavior – Fractious, hisses and swats when try to remove from carrier, tries to bite. Limited exam in net. Evidence of Cruelty seen – No. Evidence of Trauma seen – No. Objective: BARH. mm=pink, moist, CRT<2 s. P = 220 R = 28 BCS = 4/9. ORAL: Full oral exam not performed due to attempts to bite. Mild calculus on canine teeth. EENT: No oculonasal discharge. Right pinna scarred down. PLN: No enlargements noted. H/L: Lungs clear. Difficult to fully auscult heart sounds due to growling and vocalizing. ABD: Tense, not obviously painful. Mod. abdominal distension, unable to palpate deeply and evaluate for organomegaly or masses. U/G: Female, no spay scar evident. MS: Ambulatory x 4. Mild muscle wasting over spine, pelvis. CNS: Mentation appropriate – no signs of neurologic abnormalities. A: Geriatric cat with history of vomiting, abdominal distension on PE. DDx: Hepatic disease, renal disease, GI disease, neoplasia, infectious disease (FIP, other). P: Schedule for radiographs and lab tests – may need sedation. Guarded prognosis depending on radiograph and lab test results.
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