JAIMIE – A1082495
Safe - 8-5-2016 Manhattan
SAFE 8/5/16 Meet Jaimie: We believe Jaimie was hit by a car. He has a resulting pelvic fracture and will require surgery to repair it as soon as possible. Jamie also has a wound on his leg that may be a bite wound from an unknown origin. Due to the possible bite wound he will need to be on in-home 6 month quarantine with periodic phone calls to the Department of Health. He will not require any vet visits as part of the quarantine. Jaimie needs to find placement by 7pm today, 7/28. Please help this “Average” boy continue to heal and mend!
JAIMIE – A1082495
MALE, WHITE / GRAY, DOMESTIC SH MIX,2 yrs
STRAY – STRAY WAIT, HOLD FOR DOH-V Reason STRAY
Intake condition EXAM REQ Intake Date 07/24/2016, From NY 10032, DueOut Date 07/27/2016,
Medical Behavior Evaluation GREEN
Medical Summary scan negative posisble bite wound on left thigh area. older wound located on right side – seen by Dr 1168 wound clip not walking on hind legs ear mite negative flea comb negative- treated with activyl male intact relaxed duirng exam went to medical
Initial Exam (7/24/16)
possible bite wound on left thigh area. older wound located on right side
not walking on hind legs
ear mite negative
flea comb negative- treated with activyl
relaxed during exam
went to medical
S/O: BAR, hydrated, fresh wound (looks like suspect bite wound) on proximal lateral left leg – there is a small puncture wound and the skin is lifted from the underlying musculature with bruising in the area, there is also an older healing wound on right leg (lateral, proximal aspect), 3/6 heart murmur, male intact, unable to walk on hind limbs – will move legs occasionally and is painful when manipulated but unable/unwilling to walk on them — possible underlying injury (fracture vs. mucle injury) vs. neurologic. not interested in eating any food offered, increased RR – lung sounds heard bilaterally, no crackles heard — continue to monitor breathing.
A: wound on left hind leg- suspect bite wound
hind limb paralysis/nerve injury vs. musculoskeletal injury
P: NPO tonight for possible sedated x-rays of hind limbs/pelvis tomorrow and wound cleaning/explore
start amoxi/clav BID x 14 days
start buprenorphine BID x 7 days
continue to monitor breathing (r/o pain vs. primary lung disease) and appetite
S/O: pre anesth exam for rad +/- wound tx
EENT: no obv rostral teeth
MS/SK: l lat thigh large scab, non amb but trying to use hind limbs
H/L: +/-hm 1/6, arrhythmia pink tackcy mm Lungs: nsf
Neuro: withdrawal (aware) present
A: r/o hbc, other trauma +/- bite wound
hx hm, arrhythmia r/o throacic trauma, metabolic, cardiogenic
no amb r/o fx pelvis
P recheck for heart mumur, arrhythmia tomorrow +/- sedate
calm, allows handling.
capable of moving rear legs and tail
on sx list today for sedated rads/exam.
continue as planned
Possible pelvic fracture, sedation for rads.
No heart murmur or arrhythmia ausculted today – pt is purring and this is interpolating with the heart rate, but there is no heart murmur or arrhythmia.
Multiple dead fleas were found in pt’s water bowl and several live fleas were seen on the pt.
Telazol 0.1 ml given IM.
R lateral and VD rads reveal pubic and ischial fractures to the left of midline. The coxofemoral joint is subluxated, and the left SI joint also appears to be luxated, so that the entire left pelvis is malpositioned.
Cleaned wounds on left and right lateral thighs with chlorhexidine solution. The left thigh wound is a linear abrasion with multiple full-thickness puncture wounds, and a small amount of dried bloody discharge. There is a small amount of bruising caudoventral to the wound. There is no sign of infection – no swelling or purulent discharge. The right thigh wound is a round full-thickness abrasion with a small amount of crusty discharge.
Pelvic fractures in cats are usually caused by car collisions, and the thigh wounds are more likely to be related to the collision than an animal bite, but a bite cannot be ruled out.
Continue antibiotics and pain medication. Give Capstar this evening. Rec surgical repair as soon as possible.
VC – RECHECK FOR HM ARRHYTHMIA +/- SEDATE FOR PEVLIC RADS AND EVALUATE WOUNDS AND TX PRN
S/O: Cat is QAR, mildly dehydrated
P – 200+, R – 50
mm – light pink, slightly tacky
EENT – clear
Grade 1/4 dental dz
Heart/lungs auscult wnl; cat is tachycardic but no murmur or arrhythmia heard
Abdomen – bladder large but soft, easily expressed and cat continues to urinate on own
Can stand and has superficial pain in both hind limbs, but is painful and wants to remain laying down
Bilateral alopecia and scabs in the flank area, appears more like road rash than bite wounds, but unsure until cat sedated and can get better look
A: Wounds, Possible pelvic fx
P: Cat on buprenorphine for pain and amoxi/clav for wounds. Plan to sedate and radiograph pelvis this afternoon
S/O-QAR, pink mm, hydrated, eating well
EENT-CAU, COU, no nasal d/c
H/L-purring throughout exam, unable to listen to cardiac and lung sounds
GI/GU-negative oral, tense and mildly uncomfortable with abdominal palpation, NMP, MI, nsf
MSI-BCS 3/5, amb x 2, motor present x 4, prefers to lie on right side, closed wound over left hip otherwise ok haircoat
Neuro-a and a
A-pelvic fracture with paraparesis
P-continue with antibiotics and buprenorphine
start to monitor BM and urination
Pt lying in cage, calm, good appetite, well-hydrated
Soft abd, small bladder, no stool in colon
Pt is partially weight-bearing on left hind leg, but prefers to lie down with left side up.
Prognosis with surgery – fair. Prognosis without surgery – guarded.
Jaimie was brought in as a stray, so we cannot speak to his behavior in his previous home. He was tolerant of touch upon intake and did not display any signs of aggression. He remained relaxed during his initial medical exam and also allowed handling. The enrichment facilitator reports he was friendly and calm during their first interaction; he laid in place, leaned in for pets, and purred.
Please note that this cat is being treated for a medical condition at the time of evaluation. It is difficult to determine at this time how the medical condition may be affecting the behavior. In spite of an injury this cat remains social and affectionate.
Reaction to assessor: Jaimie was lying down, calm and relaxed.
Reaction when softly spoken to: Jaimie looks up at the assessor with relaxed eyes.
Reaction to cage door opening: Jaimie lifts his head up and lip licks.
Reaction to touch: Jaimie sniffs the assessor’s hand and accepts petting on his head and body. He closes his eyes, leans in for cheek rubs, and begins to purr.
Behavior Determination: Average
Jaimie interacts with the Assessor, tolerates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.
View all entries in: Safe Cats 2016-08