LEVI – A1106639
Safe - 3-26-2017 Brooklyn Rescue: Animalkind Please honor your pledges: http://animalkindny.org/makeadonation/
***SAFE 03/26/17*** SUPER SWEET BEGINNER LEVI HAS A TAIL INJURY WHICH NEEDS MEDICAL EVAL AND SOME OTHER ISSUES RESULTING FROM THE INJURY – BUT HE NEEDS A CHANCE TO LIVE FIRST! PLEASE GIVE LEVI A HOME TONIGHT – BE HIS RESCUE ANGEL!
Brooklyn Center
My name is LEVI. My Animal ID # is A1106639. – P
I am a male black domestic sh. The shelter thinks I am about 3 YEARS old.
I came in the shelter as a STRAY on 03/20/2017 from NY 11208, owner surrender reason stated was PET HEALTH.
03/23/2017 AT RISK MEMO
Levi A1106639 was placed At Risk for medical reasons- please see notes below
MOST RECENT MEDICAL INFORMATION AND WEIGHT
03/23/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 7.8 LBS.
03/23/17 Monitor diarrhea, perineal/scrotal moist dermatitis, limp tail S/O: BARH. Active, attention seeking, allows all handling, eating with excellent appetite, spotting of loose stool all over cages, no urine seen EENT: Mild dental tartar, pink mm, eyes clear, no ocular or nasal discharge, ears wnl HL: Purring, difficult to auscult ABD: Soft, non-tender, small soft bladder INTEG: Mild generalized dermatitis most noticable at ears/neck, moist dermatitist at anus, scrotum and prepuce, thinner hair coat at hind limbs MS: Ambulatory x 4, hind end slightly crouched under, limp tail UG: Male A: R/O sacral nerve damage/tail pull injury – tail paresis, appears unable to fully control urination/defecation, diarrhea appears improved (still present), secondary moist dermatitis of perianal/scrotal region P: Continue with current treatment and monitoring plan. Fair prognosis, may always have hind end deficits 03/22/17 Recheck exam. S/O: BARH. mm=pink, moist, CRT<2 s. Active, excellent appetitie. No vomiting. Mod. amount pudding-like brown diarrhea in cage, no mucus or blood. Mod. amount of urine in cage. ABD/UG: Soft, non-painful. Urinary bladder small, soft, urinated a small amount of clear yellow urine during palpation. Mod.scrotal swelling, SSD present over area. MS/NEURO: Amb x 4, no lameness or ataxia. Holding tail limply, no response to pinch except at tail base. Pos. perianal/perineal tone and nociception. INTEG: Mod. perianal and perineal swelling, erythema with SSD cream present over area. A: Diarrhea improving from intial presentation. Limp tail supportive of prior injury (tail pull, pelvic, or spinal trauma) considering cat’s history and other presenting signs. P: Continue current therapy for diarrhea and moist dermatitis. Monitor tail for improvement in use – may need tail amputation if no changes. Fair to good prognosis with appropriate management.
03/20/2017 PET PROFILE MEMO
03/20/17 16:16 Levi was vocal throughout the admissions process. He allowed to be scanned inside the carrier.
WEB MEMO
No Web Memo
03/23/2017 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
KNOWN HISTORY: Levi was brought in as a stray, so we cannot speak to his behavior in his previous home. MEDICAL BEHAVIOR: Very friendly, social, allows all handling. ENRICHMENT NOTES: 03/22/17 Lying down by the front and meows when spoken to. Begins to purr, gets up when door opens, and leans in for petting. Head-butts right away and meows when petting stops. EVALUATION: Cage Condition: No change Reaction to assessor: Levi meows softly and comes forward to greet. Reaction when softly spoken to: Levi brushes his cheeks up against the kennel door and gently reaches out for attention. Reaction to cage door opening: Levi is calm and relaxed. Reaction to touch: Levi is curious and walks out the his kennel trying to explore his surroundings. He’s very sweet, starts purring when rubbed on his head/cheeks and allows petting all over his body. Reaction to being picked up: Levi is calm, relaxed and allows all handling. ACTIVITY LEVEL: Lively VOCAL: Somewhat chatty CHARACTER TYPE: Easy going, Social, Affectionate BEHAVIOR SUMMARY: Beginner Levi interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
03/20/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
03/20/17 History – Colony cat that showed up about 1 month ago. Caretaker reports that he has always appeared to drip urine and feces, recently worse. Subjective Observed Behavior – Very friendly, social, allows all handling. Evidence of Cruelty seen – No. Evidence of Trauma seen – No. Objective: BARH. mm=pink, moist, CRT<2 s. ORAL: Mild gingivitis, calculus. EENT: Eyes clear, ears clean, no nasal discharge or sneezing. PLN: No enlargements noted. H/L: HR=180, RR=purring. Lungs clear, no murmurs/arrhythmias. ABD: Soft, non-painful. Urinary bladder small, soft. Mod. mucoid diarrhea in carrier and stuck to perineum, additional feces dried to tail and hind limbs Appears to be straining to defecate. U/G: Intact male. MS: Amb x 4 with bilateral hind limb weakness and symmetrical muscle wasting, wide based hind limb stance. INTEG: Mod. scrotal erythema, moisture, and swelling with feces/urine accumulated. Mod. perineal erythema, moisture, and feces/urine accumulation. CNS: Wide based hind limb stance but no obvious ataxia. Difficult to assess anal tone due to degree of swelling and fecal matter present. A: Hind limb paraparesis with possible partial fecal/urinary incontinence. DDx: spinal injury or disease, congenital or developmental abnormality. Diarrhea – DDx: parasitism, dietary intolerance, infectious disease, primary GI problem (IBD, SIBO, other). Fecal/urinary scald scrotum and perineum. P: Parvo test = neg. Bath. Deworm with Pyrantel and Ponazuril. Start Metronidazole 100 mg/ml 0.5 ml PO BID x 5 days. First dose given. Convenia 80 mg/ml 0.35 ml SQ administered. Clean perineum and apply SSD BID x 5 days. Re-evaluate gait and neuro exam tomorrow.
03/23/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
03/23/17 Monitor diarrhea, perineal/scrotal moist dermatitis, limp tail S/O: BARH. Active, attention seeking, allows all handling, eating with excellent appetite, spotting of loose stool all over cages, no urine seen EENT: Mild dental tartar, pink mm, eyes clear, no ocular or nasal discharge, ears wnl HL: Purring, difficult to auscult ABD: Soft, non-tender, small soft bladder INTEG: Mild generalized dermatitis most noticable at ears/neck, moist dermatitist at anus, scrotum and prepuce, thinner hair coat at hind limbs MS: Ambulatory x 4, hind end slightly crouched under, limp tail UG: Male A: R/O sacral nerve damage/tail pull injury – tail paresis, appears unable to fully control urination/defecation, diarrhea appears improved (still present), secondary moist dermatitis of perianal/scrotal region P: Continue with current treatment and monitoring plan. Fair prognosis, may always have hind end deficits 03/22/17 Recheck exam. S/O: BARH. mm=pink, moist, CRT<2 s. Active, excellent appetitie. No vomiting. Mod. amount pudding-like brown diarrhea in cage, no mucus or blood. Mod. amount of urine in cage. ABD/UG: Soft, non-painful. Urinary bladder small, soft, urinated a small amount of clear yellow urine during palpation. Mod.scrotal swelling, SSD present over area. MS/NEURO: Amb x 4, no lameness or ataxia. Holding tail limply, no response to pinch except at tail base. Pos. perianal/perineal tone and nociception. INTEG: Mod. perianal and perineal swelling, erythema with SSD cream present over area. A: Diarrhea improving from intial presentation. Limp tail supportive of prior injury (tail pull, pelvic, or spinal trauma) considering cat’s history and other presenting signs. P: Continue current therapy for diarrhea and moist dermatitis. Monitor tail for improvement in use – may need tail amputation if no changes. Fair to good prognosis with appropriate management.
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