JOHN – A1110836
Gone - 5-4-2017 Manhattan
GONE 5/4/17 — 6 month old JOHN has congenital deformities of his legs and has difficulty moving around. Needs rescue and medical eval.
JOHN – A1110836
MALE, GRAY, DOMESTIC MH MIX,6 mos
STRAY – AVAILABLE, NO HOLD Reason STRAY
Intake condition UNSPECIFIE Intake Date 05/02/2017, From NY 10456, DueOut Date 05/02/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 5-10 months? Small overall and congenitally deformed – hard to imagine that this cat could be older and could have survived for that much longer. But adult teeth are present with some tartar. Microchip noted on Intake? No – placed during LVT intake History : Found outside Subjective: Mews, allows some handling but holds legs contracted close to body, doesn’t move much and meows/growls when legs are handled too much. Significant congenital deformities or old fractures. Objective BCS 3/9, MMs pink and moist, decreased skin turgor – estimated 5-10% dehydrated. EENT: Mild mucoid ocular discharge. Clean ears and nose. Oral Exam: All adult teeth present with some tartar on PMs and Ms PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Distended, soft, fluid-feeling. No masses palpated. U/G: Male, small amount of erythema between scrotum and prepuce MSI: Significant deformities of long bones, pt vocalizes and resists when long bones are handled. Fur moderately matted over entire body and legs. Long nails. Muscle wasting over entire body. CNS: mentation appropriate – no signs of neurologic abnormalities Sedated for rads and closer palpation of skeleton – 0.15 ml buprenorphine IM and 0.1 ml Dexdomitor IM Both humeri seem to be angulated caudally, towards the olecranon Both R/U have significant varus deformity and the flexor tendons are heavily contracted Both femurs have significant varus deformity Both tibia seem to have some varus deformity as well Lumbar lordosis Decreased serosal detail in abdomen, large amount of stool and gas in colon. Abdominocentesis performed due to decreased serosal detail and suspicion of free fluid – no fluid obtained. Cystocentesis also performed – USG over 1.050, appears to be 1.054 but the scale on my refractometer only goes up to 1.050 so this is an estimate. Many mats clipped and nails trimmed. Reversed with 0.1 ml Antisedan IM Assessment 1. Multiple long bone deformities. Likely congenital, possibly multiple pathologic fractures but this is much less likely. 2. Unkempt – possibly unable to groom due to deformities Plan 1. Continue buprenorphine 0.15 ml OTM q12. 2. Consider euth due to poor quality of life Prognosis: Guarded. Pt has difficulty moving due to deformities. SURGERY: Temporary waiver due to deformities 1088
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