JAKE – A1102299
Safe - 2-2-2017 Brooklyn Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
***SAFE 02/02/17*** Give JAKE A Break! Young Kitty With Neurological Condition & Not Eating Well NEEDS YOU ASAP!
Brooklyn Center
My name is JAKE. My Animal ID # is A1102299. – P
I am a male black domestic sh. The shelter thinks I am about 2 YEARS
I came in the shelter as a STRAY on 01/26/2017 from NY 11102, owner surrender reason stated was STRAY.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
01/30/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 7.3 LBS.
01/30/17 S/O: Vet check to monitor neurologic disease/anisocoria. BAR on presentation. Patient stays crouching in the back of the cage and hisses when approached. Allows minimal handling when restrained with a towel – therefore limited exam performed. Patient urinated overnight and seemed to eat a little of his food. mm = pink/moist, appears well hydrated Integ – clean coat EENT = Clear OU – no signs of nystagmus or anisocoria. No nasal discharge. Mild to moderate black debris, AU. Mild gingivitis and fractured left upper canine tooth. H/L = nma, nsr, mildly increased BV sounds ausculted. CNS = A+ A, No obvious right sided head tilt observed today. MS = Amb x 4 A: Young adult MI DSH with hx of head tilt, anisocoria, nystagmus – appears resolved today fractured upper left canine tooth anorexia – appears to have eaten a small amount overnight Px: Fair – guarded P: Continue current treatment plan and continue to monitor. Consider placing hide box to encourage eating, if patient still hesitates to eat. Will tempt with other varieties. 01/29/17 Recheck exam. O: BAR, resting on towel. No interest in food. Attempted to touch for exam but became very fearful and ran to back of cage. EENT: No nystgmus. Slight anisocoria R>L. MS: Amb x 4. NEURO: Mild to mod. right sided head tilt. A: Neurologic/vestibular disease with unknown etiology. Appears improved today but signs have been waxing and waning. Not eating – r/o nausea, stress. P: Start Cerenia 10 mg/ml 0.3 ml SQ q 24 hours x 3 days. Continue to monitor. Guarded prognosis. 01/28/17 S/O: QAR. Unable to examine due to behavior. Continues to have no interest in food. EENT: Horizontal nystagmus with fast phase to right, Mild aniscoria R>L, no ocular or nasal discharge A: Neurologic disease – R/O vestibular disease vs head trauma vs other – – stable condition at this time, but signs worse from yesterday P: Continue with supportive care (if possible due to behavior). Poor prognosis 01/27/17 Monitor condition, neurologic S/O: QAR. Unable to examine due to behavior. Hissing, jumping back, tense. Did not eat overnight/this AM EENT: Teeth clean, eyes clear, very mild aniscoria R>L, no nystagmus, normal PLR NEURO: Unable to assess gait/ataxia A: Neurologic, signs improved from yesterday P: Continue with supportive care (if possible to treat). Poor/fair prognosis depending on underlying cause
01/26/2017 PET PROFILE MEMO
01/26/17 15:04hrs Cat does not like being handled. Might flee.
WEB MEMO
No Web Memo
01/30/2017 BEHAVIOR EVALUATION – EXPNOCHILD
Exam Type BEHAVIOR
KNOWN HISTORY: Indoor and/or Outdoor? Unknown Previously lived with: __ adults and __ children ages ___ Unknown Behavior toward children: Unknown Behavior toward strangers: Unknown Behavior toward cats: Unknown Behavior toward dogs: Unknown Bite history: Unknown Scratch history: Unknown Litter box training: Unknown Energy level/descriptors: Unknown Other notes: Arrived at the shelter as an injured stray; is in Medical, receiving care and treatment EVALUATION: Cage Condition: No change Reaction to assessor: Curled up in litter box awkwardly at back of cage, makes some eye contact Reaction when softly spoken to: Immobile, makes some eye contact Reaction to cage door opening: Immobile, makes continues to make some eye contact Reaction to touch: Briefly allowed some petting, but uncomfortable, hisses MEDICAL BEHAVIOR: 01/26/17 QARH. Clear neurologic problem – unable to accurately assess cat’s behavior. becomes frantic when handled ACTIVITY LEVEL: Mellow VOCAL: Quiet CHARACTER TYPE: Skittish RECOMMENDATIONS: [Overall placement determination] __ Experienced cat parent X Experienced, adult home only __ No other cats OR multi-cat home with adopters experienced with introducing new cats __ Single-pet home __ Placement with a New Hope partner BEHAVIOR SUMMARY: _X_ Experienced, Adult Only Jake tolerates some attention and petting but may be fearful or stressed in the shelter, and may be intimidated by small children. Please note that this cat has a severe medical condition so we may not be seeing any true behavior and behavior may change when the cat’s medical condition improves.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
01/26/2017 INITIAL PHYSICAL EXAM
Medical rating was 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
01/26/17 Microchip scan neg. O: QARH. Clear neurologic problem – unable to accurately assess cat’s behavior. Becomes frantic when handled – Diazepam 0.25 ml IM administered. ORAL: mm=pink, moist, CRT<2 s. Fractured tip of L Max C. EENT: No oculonasal discharge. H/L: HR=220, RR=40, Lungs clear, no murmurs/arrhythmias. ABD/UG: Intact male, both testicles palpable. Abd palpation WNL. MS: Good body condition. BCS = 5/9. Non-ambulatory, prefers to remain recumbent, unable to right himself. Tends to fall to the right. NEURO: Slight anisocoria L pupil > R. Rapid horizontal nystagmus. Wide based stance, holds limbs in extension and becomes agitated when is lifted up. A: Age est 2 years. Anisocoria and nystagumus. Ddx: Vestibular disease (idiopathic, inflammatory, infectious), head trauma, other. P: Provide supportive care and monitor for improvement. Can administer Diazepam 0.25 ml IM BID if needed for mild sedation. Administer LRS 100 ml Sq q 24 hours x 3 days. Monitor appetite/ability to eat. Fair prognosis depending on underlying disease. Rec. placement. Will likely need continued care at a veterinary hospital.
01/30/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
01/30/17 S/O: Vet check to monitor neurologic disease/anisocoria. BAR on presentation. Patient stays crouching in the back of the cage and hisses when approached. Allows minimal handling when restrained with a towel – therefore limited exam performed. Patient urinated overnight and seemed to eat a little of his food. mm = pink/moist, appears well hydrated Integ – clean coat EENT = Clear OU – no signs of nystagmus or anisocoria. No nasal discharge. Mild to moderate black debris, AU. Mild gingivitis and fractured left upper canine tooth. H/L = nma, nsr, mildly increased BV sounds ausculted. CNS = A+ A, No obvious right sided head tilt observed today. MS = Amb x 4 A: Young adult MI DSH with hx of head tilt, anisocoria, nystagmus – appears resolved today fractured upper left canine tooth anorexia – appears to have eaten a small amount overnight Px: Fair – guarded P: Continue current treatment plan and continue to monitor. Consider placing hide box to encourage eating, if patient still hesitates to eat. Will tempt with other varieties. 01/29/17 Recheck exam. O: BAR, resting on towel. No interest in food. Attempted to touch for exam but became very fearful and ran to back of cage. EENT: No nystgmus. Slight anisocoria R>L. MS: Amb x 4. NEURO: Mild to mod. right sided head tilt. A: Neurologic/vestibular disease with unknown etiology. Appears improved today but signs have been waxing and waning. Not eating – r/o nausea, stress. P: Start Cerenia 10 mg/ml 0.3 ml SQ q 24 hours x 3 days. Continue to monitor. Guarded prognosis. 01/28/17 S/O: QAR. Unable to examine due to behavior. Continues to have no interest in food. EENT: Horizontal nystagmus with fast phase to right, Mild aniscoria R>L, no ocular or nasal discharge A: Neurologic disease – R/O vestibular disease vs head trauma vs other – – stable condition at this time, but signs worse from yesterday P: Continue with supportive care (if possible due to behavior). Poor prognosis 01/27/17 Monitor condition, neurologic S/O: QAR. Unable to examine due to behavior. Hissing, jumping back, tense. Did not eat overnight/this AM EENT: Teeth clean, eyes clear, very mild aniscoria R>L, no nystagmus, normal PLR NEURO: Unable to assess gait/ataxia A: Neurologic, signs improved from yesterday P: Continue with supportive care (if possible to treat). Poor/fair prognosis depending on underlying cause
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