LILAC – A0472445
Safe - 8-6-2017 Brooklyn Rescue: Zani's Furry Friends Please honor your pledges: http://zanisfurryfriends.org
*** SAFE 08/06/17 ***
15 year old LILAC found her way back to the shelter as a stray. She is already spayed and looking for a retirement home. She needs follow up vet care to determine if she is hyperthyroid or has kidney issues and also needs dental care.
Brooklyn Center
*RETURN*
My name is LILAC. My Animal ID # is A0472445. – P
I am a spayed female lilac pt siamese mix. The shelter thinks I am about 15 YEARS old.
I came in the shelter as a STRAY on 07/28/2017 from NY 11419, owner surrender reason stated was STRAY.
08/03/2017 AT RISK MEMO
Lilac A0472445 is rist due to URI diagnosis.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
08/01/2017 Exam Type RE-EXAM – Medical Rating is 4 C – SEVERE CONDITIONS , Behavior Rating is NONE, Weight 4.6 LBS.
07/30/17 S: Monitor condition, appetite, hydration. Patient is QARH in the cage but becomes more alert when taken out of the cage. Very friendly and allows medical handling. Ate wet food overnight. BCS 2/9 O: EENT: Severe dental disease, missing most teeth and fractured right maxillary canine, nuclear sclerosis, mild serous ocular d/c, mild serous nasal discharge, ears have a moderate amount of brown waxy debris-wiped away with paper towel, no audicle congestion HL: Normal thoracic auscultation, NMA, RR, sounds congested but no abnormal lower airway noises ABD: SNP, NMP, doughy abdomen INTEG: Slightly unkempt, no ectos seen MS: Ambulatory x 4, muscle wasted MCS 1/3 UG: Spayed, no vulvar d/c A: Geriatric, emaciated, dehydrated, dental disease, likely CKD, likely underlying disease Labwork abnormalities below from 7/29/17: Non-regenerative anemia, inflammatory leukogram, mild azotemia (R/O pre-renal), elevated globulins (R/O dental disease vs other) P: Continue doxycycline 0.5ml PO q24 Open prognosis depending on underlying disease management, poor long term prognosis CBC – Mild to moderate leukocystosis 22.43K/uL characterized by a moderate neutrophilia 18.89K/uL and mild monocytosis 18.89K/uL, moderate to marked non-regenerative anemia 20.8% Thrombocytopenia but platelet aggregates detected Chemistry – Mild increased BUN 45mg/dL and Globulins 5.9g/dL, and K 6.6mmol/L, mild decreased ALKP 10U/L and Ca 6.6mg/dL. T4 wnl Poor long term prognosis
07/28/2017 PET PROFILE MEMO
07/28/17 16:27 Limited profile stray. Allowed for easy handling, appeared lethargic.
WEB MEMO
No Web Memo
07/31/2017 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
KNOWN HISTORY: Lilac was brought in as a stray, so we cannot speak to her behavior in her previous home. MEDICAL BEHAVIOR: Tolerates all medical handling but resents being put on side for blood draw EVALUATION: Cage Condition: Cage is neat Reaction to assessor: Lilac was curled up and resting on her blanket near the back of the cage. Reaction when softly spoken to: Lilac turns towards the assessor, slow blinks and doesn’t get up or come forward when coaxed. Reaction to cage door opening: Lilac remains motionless. Reaction to touch: Lilac sniffs the assessor’s hand and slow blinks when pet gently on her head. Her body feels a bit tense but she starts to relax when pet gently along her back. She perks up, her tail rises and she leans against my hand when rubbed on her cheeks. Reaction to being picked up: Lilac was a bit tense when picked up but allowed all handling. ACTIVITY LEVEL: Laid back VOCAL: Quiet CHARACTER TYPE: Independent BEHAVIOR SUMMARY: Average Lilac interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. No known history of behavioral problems. This cat is showing behavior appropriate for new or experienced cat parents.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
07/28/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: Microchip noted on Intake? yes 43662C2E07 History : Adopted from here 2002. Found on someone’s porch Subjective: QAR, 5% dehydrated Observed Behavior – QAR, tolerates all medical handling but resents being put on side for blood draw Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective T = NT P = 200 R = eup BCS 1/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: severe dental dz, oligodontial, no oral masses; L sided t-nodule PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, somewhat ropey feel to intestines U/G: SF, small soft bladder, kidneys palpate somewhat small but smooth MSI: Ambulatory x 4, skin free of parasites, no masses noted, dull/dry coat, marked generalized muscle atrophy CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: NP Assessment 15 year old SF DSH 1. Emaciated r/o A2 v GI dz v DM v neoplasia v other 2. Thyroid slip r/o hyperthyroidism 3. Dehydration 4. Severe dental dz Plan -Rabies -FVRCP -Pytrantel and effipro -150 ml SQ LRS and cerenia 1 mg/kg SQ x 3 days -Set up for full bw (including retro) tomorrow (hopefully when more hydrated) -Ideally set up in medical for check hydration, appetite -Recommend placement with new hope Prognosis: guarded to poor SURGERY: spayed
08/01/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 C – SEVERE CONDITIONS ,
07/30/17 S: Monitor condition, appetite, hydration. Patient is QARH in the cage but becomes more alert when taken out of the cage. Very friendly and allows medical handling. Ate wet food overnight. BCS 2/9 O: EENT: Severe dental disease, missing most teeth and fractured right maxillary canine, nuclear sclerosis, mild serous ocular d/c, mild serous nasal discharge, ears have a moderate amount of brown waxy debris-wiped away with paper towel, no audicle congestion HL: Normal thoracic auscultation, NMA, RR, sounds congested but no abnormal lower airway noises ABD: SNP, NMP, doughy abdomen INTEG: Slightly unkempt, no ectos seen MS: Ambulatory x 4, muscle wasted MCS 1/3 UG: Spayed, no vulvar d/c A: Geriatric, emaciated, dehydrated, dental disease, likely CKD, likely underlying disease Labwork abnormalities below from 7/29/17: Non-regenerative anemia, inflammatory leukogram, mild azotemia (R/O pre-renal), elevated globulins (R/O dental disease vs other) P: Continue doxycycline 0.5ml PO q24 Open prognosis depending on underlying disease management, poor long term prognosis CBC – Mild to moderate leukocystosis 22.43K/uL characterized by a moderate neutrophilia 18.89K/uL and mild monocytosis 18.89K/uL, moderate to marked non-regenerative anemia 20.8% Thrombocytopenia but platelet aggregates detected Chemistry – Mild increased BUN 45mg/dL and Globulins 5.9g/dL, and K 6.6mmol/L, mild decreased ALKP 10U/L and Ca 6.6mg/dL. T4 wnl Poor long term prognosis
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