JO-ANN – A1108220
Safe - 4-11-2017 Brooklyn
SAFE 4/11/17 – 13 year old cat is dehydrated, has low muscle mass, conjunctivitis – brought in when owner was hospitalized.
JO-ANN – A1108220
FEMALE, WHITE / CALICO, DOMESTIC SH,13 yrs
SEIZED – EVALUATE, HOLD RELEASED Reason OWNER HOSP
Intake condition ILLNESS Intake Date 04/08/2017, From NY 11221, DueOut Date ,
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Scan negative Estimated age: 13 years( teeth condition and general appareance) Microchip noted on Intake- none History : Owner surrender. In hold Subjective: Underlying geriatric intact female cat with conjuctivitis, dehydration and low bcs Observed Behavior – Weak, QAR Evidence of Cruelty seen – None Evidence of Trauma seen -none Objective T = Not taken P = 160 bpm R = Not taken BCS 1/9 EENT: moderate conuuctivitis, ears clean, brown crusty nasal discharge noted Oral Exam: some teeth missing, gingivitis and tartar. PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact female MSI: Ambulatory x 4, skin free of parasites, no masses noted, dirty and matted hair . CNS: Obtunded mentation appropriate Rectal: Not performed Assessment Cachexia dehydration conjuctivitis Low muscle mass Crusty nasal discharge Plan Vaccinated dewormed FIV/FELV- negative Microchipped erythromycin BID 0.2 ml convenia sq once 50 ml LRS sq once Prognosis: guarded Permanent waiver due to geriatric and underweight
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