KILALA – 9239
Safe - 10-27-2017 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
***SAFE 10/27/17*** SWEET ADORABLE KILALA IS AN AFFECTIONATE KITTY WITH A COLD WHO NEEDS A RESCUE ANGEL NOW!! KILALA was an owner surrender. She was brought in with puncture wounds on her leg and also has a heart murmur which should have follow up vet care. Kilala was good with children and is AVERAGE rated!! PLEASE HELP KILALA HAVE A HAPPILY EVER AFTER TONIGHT – RESERVE BY NOON!!
MANHATTAN CENTER
Hello, my name is Kilala. My animal id is #9239. I am a female calico cat at the Manhattan Animal Care Center. The shelter thinks I am about 1 years 2 weeks old. – P
I came into the shelter as a owner surrender on 08-Oct-2017, with the surrender reason stated as person health – allergies.
Kilala 9239 is at-risk for her medical condition, including upper respiratory infection (URI), bite wound, and a heart murmur. Behaviorally, Kilila shows interest in interacting with people and warms up to attention. We recommend an adopter with an average amount of cat experience.
My medical notes are…
Weight: 6.875 lbs
scan negative female intact as per owner age 1 yr no tartar wound and pus in the left leg clean EEN tense and nervous nosf
[DVM Intake] DVM Intake Exam Estimated age: 1yr Microchip noted on Intake? yes History : Subjective: food eaten in cage, urine in litterbox, friendly, active Observed Behavior – allows all handling, nervous when attempted to turn on clippers Evidence of Cruelty seen -no Evidence of Trauma seen -yes Objective P =180 BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: pink gums PLN: No enlargements noted H/L: NSR, No Arrythmias, grade 2/6 systolic HM, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: grossly normal, no visible spay tattoo MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, on L lateral radius/ulna- two open wound with what appears to be granulation tissue, no pus, no swelling, area was previously clipped CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment wound: r/o trauma heart murmur: r/o valvular vs. myocardial Prognosis: good Plan: convenia 80mg/ml: 0.3ml SQ once attempt to clip/clean wound when p calmer ideally recommend cardio consultation SURGERY: Permanent waiver due to heart murmur
Surgery is permanently waived from ACC due to heart murmur.
ACS asked me to examine a cat with wounds on the LFL. There are four puncture wounds – two big (1 cm dia) and two small (2 mm dia) – distal to the elbow on the caudolateral aspect of the leg. There is granulation tissue protruding through each puncture, and the skin is taut between the punctures as if there is very mild swelling of the leg. There is no active discharge. The leg is shaved around the wounds. Recheck wound tomorrow – if the swelling is increasing, rec explore the wounds surgically. 1088
Hx: Pt was surrendered 10/8/17 with one other cat. Multiple puncture wounds to the left front leg were noted on intake. The leg was shaved and pt was given Convenia. In the past few days, the leg has become mildly swollen and there has been intermittent purulent discharge from the wounds. Today there is again a small amount of purulent discharge from the wounds on the LFL. Pt is only partially weight bearing on the LFL. ***Grade 3/6 systolic heart murmur was ausculted. Pt sedated with 0.15 ml hydromorphone IM and 0.1 ml ketamine IM for closer exam, cleaning and bandaging. There are four full-thickness puncture wounds on the lateral aspect of the LFL, just distal to the elbow. Two are ~1 cm dia with serosanguinous and purulent discharge, and protruding pink granulation or SQ tissue. Two are smaller (2-5 mm dia) with some local bruising and a small amount of visible SQ tissue. There is mild swelling of the leg between these wounds. There is also a full-thickness puncture wound on the medial aspect of the LFL, just distal to the elbow, with mild serosanguinous discharge. The skin was cleaned with chlorhexidine and the wounds were flushed with saline. The leg was bandaged with Telfa, roll gauze and VetWrap. Start Onsior 6 mg SID x5 days, and Baytril 22.7 mg/ml 0.7 ml IM SID x7 days. Change bandage as necessary. 1088
Kilala is an approximately 1 year old female cat was surrendered to ACC on 10/8/17. No history was given about bite wounds, however the examining veterinarian noticed several puncture wounds on the left front leg and administered an antibiotic injection. Over the next few days, this leg became swollen and purulent discharge was noted. On 10/12/17, the wounds were re-examined and determined to be consistent with bites or claw wounds. The client was called back and he reported that his cats did fight although he was not aware of any broken skin or wounds prior to this. Kilala is currently alert and mentally appropriate, with no signs of rabies or other neurological disease. If you have any questions, please don’t hesitate to call.
Estimated age: 1 yo History : presented with left forelimb wound c/w bite wound abscess. Heart murmur ausculted Subjective: BAR, appears comfortable with bandaged limb Observed Behavior – easily handled in cage, nervous with noise Evidence of Trauma seen – y Objective P = 160 R = purring BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: pink mm, healthy adult dentition PLN: No enlargements noted H/L: NSR, grade 2/6 murmur (sternal), CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MSI: Ambulatory x 3, skin free of parasites, no masses noted, healthy hair coat, left forelimb bandage clean and dry, foot and toes look normal CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: Bite wound abscess- managed Heart murmur: monitor, no CS Prognosis: Good Plan: Change bandage daily or as needed; ideally cardio consult to evaluate murmur SURGERY: Temporary waiver due to heart murmur
Recheck for left forelimb lameness: BARH BCS 4/9 – e/d u/d all ok – no c/s v/d observed/reported EENT: Eyes clear, ears clean Oral Exam: pink mm, nsf PLN: No enlargements noted H/L: no heart murmur appreciated this AM, NSR, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female MSI: Ambulatory x 4, toe-touching LFL lameness, skin free of parasites, no masses noted, healthy hair coat; left forelimb bandage clean and dry, foot and toes look normal CNS: Mentation appropriate – no signs of neurologic abnormalities A: patient stable, wounds healing Hx of heart murmur P: cont. to monitor, recheck/change bandage if necessary tomorrow Px good
Recheck for healing wounds/LFL lameness: BARH BCS 4/9 – e/d u/d/ all ok – no c/s v/d observed/reported EENT: Eyes clear, ears clean Oral Exam: pink mm, nsf PLN: No enlargements noted H/L: no heart murmur appreciated this AM, NSR, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female MSI: LFL toe-touching lameness, ambx 4, skin free of parasites, no masses noted, healthy hair coat; left forelimb bandage clean and dry, foot and toes look normal CNS: Mentation appropriate – no signs of neurologic abnormalities A: stable, healing wounds Hx of heart murmur/cont. to monitor P: cont to recheck/change bandage daily – rec’ cardio recheck/consult Px good
Recheck for wounds to LFL: S/O: BARH BCS 4/9 – e/d u/d all ok – no c/s v/d observed/reported EENT: Eyes clear, ears clean Oral Exam: pink mm, nsf PLN: No enlargements noted H/L: no heart murmur appreciated this AM, NSR, CRT < 2; Lungs clear, eupnic ABD: soft-non painful, no masses palpated U/G: female MSI: LFL toe-touching lameness with swollen paw distal to bandage, amb x 4 CNS: Mentation appropriate – no signs of neurologic abnormalities – swollen paw from bandage, bandage change due => when bandage was removed there was a large amount of purulent discharge coming from the wound on the lateral aspect of the left antebrachium with a large palpable swelling at the lateral aspect of the elbow, when expressed there was heavy purulent discharge – Kilala was sedated with 0.06/0.06 Torb/DexDom IM and given 0.4 ml Simbadol SQ and maintained on Iso/O2 for wound cleaning Sx notes: the lateral wound was debrided, purulent discharge expressed and copiously flushed with sterile saline and cleaned with dilute chlorhex solution. A drain was placed from the tissue pocket by the lateral aspect of the elbow to half way down the lateral sided of the forearm. The large wound was closed with 4-0 monocryl continuous in the subq and 3-0 PDS II in a cruciate pattern for the skin. The smaller surrounding wounds were also cleaned/debrided/flushed and closed with 3-0 PDS II. The skin wound on the medial aspect of the elbow (~2 cm in diameter) was also cleaned/debrided/flushed and partially closed with 3-0 PDS II in a simple interrupted pattern. P: keep e-collar on – monitor drain/wounds for discharge, cleanliness and patient comfort; remove drain when appropriate – give Simbadol 0.4 ml SQ SID x 5 days – recheck sutures and remove when appropriate ~ 10 days if healing well
Recheck suspected bite wound on LF; was given convenia injection initially and then started on baytril and onsior due to persistant purulent drainage from wound; sedated for debridement and drain placement yesterday S/O -good appetite -BAR, very affectionate and friendly; mild dysphoria due to simbadol -mm pk, moist -OU open and clear, pupils dilated due to simbadol -no nasal discharge or sneezing -LF: wound along craniolateral aspect of antebrachium; sutures and drain intact; mild slightly purulent discharge oozing along incision; mild to moderate swelling along wound and mild edematous swelling of paw; weight bearing lameness A Bite wound LF P CWCT remove drain in 2-3 days if continuing to heal
S/O BAR, very affectionate good appetite mm pk, moist OU: open and clear, pupils dilated due to simbadol no nasal discharge eupnic, purring loudly on auscultation LF-drain and surgical wounds intact; no active discharge from drain hole but mild purulent discharge seeping from proximal aspect of wounds; mild swelling with mild SQ pocketing underneath incisions; edematous swelling of paw appears resolved; using paw better today but still has mild lameness A bite wound with drain P CWCT consider drain removal tomorrow
S/O -BAR, affectionate and interactive but seems slightly less energetic than previously -good appetite -drain and surgical incisions intact on LF, dried bloody discharge along cranial edges of wound, small amnt of mucoserous discharge seeping through cranial aspect of one incision; no active discharge from drain; swelling continues to improve; improved weight bearing today -sneezing, serous nasal discharge -OU: open and clear -purring A URI suspected bite wound P continue baytril orally for wound and URI sedate tomorrow to remove drain move to medical isolation
S/O -good appetite -BAR, very affectionate -sneezing but less frequently than yesterday, mild serous nasal discharge -OU: open and clear -mm pk, moist; CRT <2 sec -purring on auscultation -soft abdomen -LF: surgical wounds along proximal antebrachium, main incision CDI with dried bloody dicharge along proximal aspect -one small open wound where stitch may have come out, fibrinous, blood discharge present but suspect will heal well with second intention -drain present and intact; dried bloody fibrinous discharge at drainage hole with mild active discharge -mild residual swelling along wounds A bite wounds-improving URI P switched to oral baytril yesterday sedated with 0.15 ml ketamine/0.15 ml dexdomitor, removed drain cerenia 0.3 ml SQ reversed sedation with 0.15 ml antisedan prognosis: good
Bandage removed yesterday from bite wounds over antebrachium. Slight sneezing noted today with serous nasal discharge -OU: open and clear -mm pk, moist; CRT <2 sec -purring on auscultation -soft abdomen -LF: skin sutures c/d/i with no discharge noted today. Drain removal site healing appropriately -mild residual swelling along wounds A bite wounds-improving URI P switched to oral baytril yesterday prognosis: good
Recheck, day 5 baytril for URI; recheck bite wound on LF-drain pulled on 7/19 S/O BAR, sweet girl; docile, allows handling mm pk, moist moderate appetite mild serous nasal discharge OU: open and clear eupnic LF-surgical wounds along proximal antebrachium CDI, appear significantly improved from previous exam on 10/19; no significant swelling or drainage; drain exit hole healing by second intention A Bite wounds, surgically repaired-healing well URI-improving P Continue baytril, recheck in 2 days
Details on my behavior are…
Behavior Condition: 1. Green
Upon intake, Kilala was at the back of the carrier but allowed collaring and all handling.
Is this cat having litter box issues?: Yes
Basic Information:: Kilala is a 1 year old unaltered female domestic short hair. The owner is surrendering because his son has allergies. Kilala has ever been to the vet.
If yes, Please elaborate:: Kilala defecates outside of the litter box when Kyro is around, the owner believes she is being bullied by Kyro.
Previously lived with:: two teenagers and litter mate
How is this cat around strangers?: Kilala is described as friendly around strangers.
How is this cat around children?: Kilala is relaxed around children and plays gently with them.
How is this cat around other cats?: Kilala is very respectful of her litter mate.
How is this cat around dogs?: Kilala has never been around dogs.
Bite history:: Kilala has never bitten or scratched another animal or person.
Energy level/descriptors:: Low
Has this cat ever had any medical issues?: No
For a New Family to Know: Kilala is described as very affectionate. The owner’s favorite thing about Kilala is how she likes to be around the owner when he gets home. Kilala’s favorite thing to do is sleep. When the owner is home, Kilala stays in the same room as him. Kilala likes to play with string toys. Kilala has been kept indoors only. Kilala sleeps under the couch. The owner free feeds Kilala Cat Chow. Kilala uses an uncovered litter box with clumping litter.
KNOWN HISTORY:: Kilala is described as friendly around strangers. She is relaxed around children and plays gently with them. Kilala is very respectful of her litter mate. Also, described as very affectionate.
MEDICAL BEHAVIOR:: Observed Behavior – allows all handling
ENRICHMENT NOTES:: Asleep behind litter box, woke when door opened. Brief hesitation, but warmed up significantly when given treats. Leaned and arched into pets, purred, looked around for more treats.
Cage Condition:: Cage is neat
Reaction to assessor:: Kilala remains neutral, lying down on her cage bedding during the approach.
Reaction when softly spoken to:: Kilala shows interest, alert with soft eyes.
Reaction to cage door opening:: Kilala slowly engages the front, ears erect and forward, kneading in place.
Reaction to touch:: Kilala head bunts the assessor’s hand and purrs while appreciating the petting on the head and body.
Reaction to being picked up:: She becomes antsy then jumps back in to the cage.
ACTIVITY LEVEL:: Mellow
VOCAL:: Quiet
CHARACTER TYPE: : Shy ,Sweet,Affectionate
BEHAVIOR DETERMINATION: : Average
Behavior Asilomar: H – Healthy
BEHAVIOR SUMMARY:: Kilala interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.
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