JAKE – A1091479
Gone - 9-28-2016 Brooklyn
GONE 9/28/16 When I met her she was being groomed and was very tolerant of all handling; This sweet gyal needs some follow up medical care for her wounds; Please consider helping this spectacular senior!
Jake A1091479, Stray, Spayed, 14 Years Old, Gray DLH, 3.8 lbs
O: QARH. mm=lt pink, moist. All food eaten overnight. Urine on towel.
EENT: No oculonasal discharge.
H/L: Lungs clear, no murmurs.
MS/Neuro: Was resting curled up on towel when approached. Assisted to stand but still unable to hold herself up, falls to the right. Non-ambulatory.
Integ: Matted fur, urine soaked in perineal fur. Small maggots visible on perineal fur.
A: Neurologic condition unchanged. Dermatitis/pyoderma with maggots now appearing.
P: Shave mats, remove maggots, clean skin with chlorhexidene solution.
Cat possibly hit by car.
Microchip scan neg.
O: QAR. Fearful and flinches away from touch, but able to handle.
Oral: No teeth.
EENT: Crusting at nares, mild congestion. Left pinna tipped.
H/L: No murmurs. Lungs clear.
ABD: Palpation WNL.
MS: Emaciated body condition. Unable to stand, falls over when held up. No fractures or luxations palpable.
NEURO: Appears ataxic and has head tremors when trying to ambulate. Pos. withdrawal and nociception all 4 limbs. Visual OU, no nystagmus.
INTEG: Severely matted, dirty haircoat with leaves and other debris stuck. Erythema, moisture on perinuem, eythema and scabbing on tail. No maggots seen.
A: Approx. age 14 years. Emaciated – DDX: malnutrition, metabolic disease, hyperthyroid, inability to eat due to neuro problems, absence of teeth.
Neurologic disease Ddx: Vestibular disease (though would expect nystagmus), cerebellar disease, CNS trauma, infection, or inflammation, metabolic disease.
Matting due to inability to groom with secondary dermatitis, superficial pyoderma.
P: Start Amoxi-Clav 45.7 mg/ml. 0.5 ml PO BID x 10 days.
Offered canned food – ate enthusiastically. Continue to offer soft food only, TID feedings.
Shave mats tomorrow – try without sedation due to condition.
Guarded prognosis due to severity of neurologic symptoms – if does not improve within 48-72 hours, rec. EHR. If cat does improve, then rec. placement and further workup/treatment as indicated.
Really small old guy in really rough shape, matted. Wobbly, head trembles. Flinches when try to touch. Devoured his food. Will check in on him after he’s been shaved.
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View all entries in: Gone Cats 2016-09