KIRBY – A1099476
Safe - 3-21-2017 Manhattan
SAFE 3/21/17 This tabby boy Kirby came into the shelter in pretty bad shape but a volunteer stated Kirby is looking much better and is such an affectionate and gentle cat. He stood up and purred on his latest medical exam. Kirby deserves to leave the shelter for a good home where he can get all the TLC he needs to recuperate. If you would love to have this exceptionally friendly boy as your cuddle buddy – please email [email protected] now for rescue info. Kirby certainly is hoping you will!!
Manhattan Center
KIRBY – A1099476
NEUTERED MALE, BRN TABBY, DOMESTIC SH MIX,7 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 12/12/2016, From NY 10459, DueOut Date 12/15/2016,
Medical Behavior Evaluation GREEN
Medical Summary 12/12/16 Sex: Male neutered Scan: Negative Estimated age: 5-8 years Fleas: No flea dirt. S: Weak, slumped in carrier, allows all handling, looks up when touched and occasionally meows but does not attempt to get up O: Minimally responsive, BCS 1/9, decreased skin turgor, sunken eyes, estimated 10-12% dehydrated, MMs white EENT: Moderate purulent and crusty discharge OU. Mild tartar. Mild SND. H/L: HR 84, NSR, NMA. Eupnic, quiet lung sounds. Abd: Tucked up, soft, no pain on palpation, no masses palpated M/S/I: No attempt to stand or walk. No sign of injury to limbs. No skin lesions noted. UG: Male neutered Neuro: Resting head tremor Offered food – no interest A: 1. Emaciation 2. Severe dehydration 3. Purulent ocular discharge OU – R/O enophthalmos secondary to emaciation vs. primary URI/conjunctivitis 4. Anemic Short-term prognosis: Grave P: Set up on heating pad, give 150 ml LRS SQ, reassess in 1-3 hrs. If no significant improvement, will likely euthanize. UPDATE 16:21 – After 45 min on heat and 200 ml LRS SQ, pt ate food when offered to face. CTM. UPDATE 17:47 – Pt sat up and meowed when spoken to, moved around cage and looked for more food. Gave another bowl of wet food (A/D) – good appetite. Administered terramycin OU. Still very dehydrated. PLAN: 1. Additional LRS 200 ml tonight and then 150 ml SQ BID x5 days 2. Erythromycin OU BID x10 days 3. FeLV/FIV test and run CBC/chemistry tonight 1088
Weight 6.4
Initial Exam (12/12/16)
Sex: Male neutered
Scan: Negative
Estimated age: 5-8 years
Fleas: No flea dirt.
S: Weak, slumped in carrier, allows all handling, looks up when touched and occasionally meows but does not attempt to get up
O: Minimally responsive, BCS 1/9, decreased skin turgor, sunken eyes, estimated 10-12% dehydrated, MMs white
EENT: Moderate purulent and crusty discharge OU. Mild tartar. Mild SND.
H/L: HR 84, NSR, NMA. Eupnic, quiet lung sounds.
Abd: Tucked up, soft, no pain on palpation, no masses palpated
M/S/I: No attempt to stand or walk. No sign of injury to limbs. No skin lesions noted.
UG: Male neutered
Neuro: Resting head tremor
Offered food – no interest
A:
1. Emaciation
2. Severe dehydration
3. Purulent ocular discharge OU – R/O enophthalmos secondary to emaciation vs. primary URI/conjunctivitis
4. Anemic
Short-term prognosis: Grave
P: Set up on heating pad, give 150 ml LRS SQ, reassess in 1-3 hrs.
UPDATE 16:21 – After 45 min on heat and 200 ml LRS SQ, pt ate food when offered to face. CTM.
UPDATE 17:47 – Pt sat up and meowed when spoken to, moved around cage and looked for more food. Gave another bowl of wet food (A/D) – good appetite. Administered terramycin OU. Still very dehydrated.
PLAN:
1. Additional LRS 200 ml tonight and then 150 ml SQ BID x5 days
2. Erythromycin OU BID x10 days
3. FeLV/FIV test and run CBC/chemistry tonight
Re-Exam (12/13/16)
S: Pt resting in cage this morning on heating pad. Allows all exam, moves slowly but seems stronger than yesterday.
O: BAR, decreased skin turgor, estimated 8% dehydrated
EENT: Clean eyes this morning. Moderate yellow crusty discharge from nares.
H/L: HR 164, NSR, NMA. Eupnic, referred upper resp congestion (nasal obstruction) but quiet lung sounds.
Abd: Soft, tucked up, no pain on palpation, no masses palpated
M/S/I: When lifted to standing, pt settles down slowly but doesn’t fall over. No skin lesions noted.
UG: Moderately large soft bladder
Neuro: No sign of tremors seen today
A:
1. Emaciated
2. Dehydrated
3. Conjunctivitis and URI
4. Likely underlying disease – CBC/chem and combo test will better evaluate. These tests were postponed from yesterday due to severe dehydration.
Short-term prognosis: Upgraded from grave to POOR. Overall condition is much improved since yesterday! Good appetite, HR is normal, no sign tremors.
P:
1. Do CBC/chem/combo test today
2. Add doxycycline 0.6 ml PO SID x10 days, nebulize BID x5 days
Re-Exam (12/13/16)
CBC/chemistry and FeLV/FIV test performed – FeLV/FIV negative
Severe regenerative anemia (Hct 13%, retic 142.6 K/ul)
Leukocytosis, neutrophilia (WBC 27, neu 22.5), bands suspected
Mild azotemia (BUN 53 mg/dl) – likely pre-renal
Decreased creat (0.7)
Low Ca (7.7)
Mildly elevated ALT (204)
T. protein 7.6, low-normal albumin (2.5) and high-normal globs (5.1)
Regenerative anemia – R/O GI parasites, leukemia/lymphoma, IBD, Mycoplasma, other causes
CWCT. If pt not gaining weight appropriately, recommend blood smear +/- abd ultrasound
Re-Exam (12/14/16)
S: Pt doing very well today! Good appetite overnight. Resting on blanket and heating pad this morning. Purred during exam, meowed and stood up on all four legs.
O: BAR, very slightly decreased skin turgor, estimated 5% dehydrated
EENT: Clean eyes and clean nose this morning.
H/L: NSR, NMA. Eupnic, quiet lung sounds.
Abd: Soft, no pain on palpation, no masses palpated
M/S/I: Able to stand.
UG: Soft bladder
Neuro: Stands well, no ataxia or tremors noted
A:
1. Emaciated
2. Dehydrated – resolving
3. Conjunctivitis and URI – resolving
4. Anemia – unknown cause
Prognosis: Fair-poor
Plan: Continue doxycycline, LRS and nebulization. Discontinue erythromycin.
For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected]. Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
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