MIDNIGHT – A1116301
Safe - 6-27-2017 Brooklyn Rescue: Ready For Rescue Please honor your pledges: Paypal address: [email protected]
SAFE 6/27/17 Poor Midnight was possibly hit by a car and needs follow up medical care as soon as possible for his fractured jaw.
Brooklyn Center
Midnight A1116301, 1 Year Old, Black DSH, Male, 6.8 lbs, Stray 06/23/17
Medical::
DVM Intake Exam
Estimated age: 1 year
Microchip noted on Intake? no
History : stray, possibly hit by car
Subjective: QAR but agitated, 7% dehydrated, ambulatory x 4, urinated dark brown urine in box
Observed Behavior – very vocal during exam and tries to escape but does not attempt to bite – unpredictably upset during handling (doesn’t appear associated with pain)
Evidence of Cruelty seen – none
Evidence of Trauma seen – possible fracture
Objective
P: WNL R: WNL BCS 3/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: all teeth present, obvious mandibular symphyseal fracture, purulent laceration on the right mandible
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic, no evidence of pneumothorax
ABD: No masses palpated, repeatably painful on caudal abdominal palpation but no ruptured viscus or wounds identified
U/G: intact male, two testicles
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, no visible wounds or road rash
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment: mandibular symphyseal fracture with infected laceration, potential caudal abdominal trauma
Plan: Gave 0.42 mL Simbadol SQ, will wait until cat less painful – at that time, give 100 mL SQF, lateral abdominal radiograph, 0.31 mL Convenia SQ. Seek New Hope placement.
Prognosis: open
SURGERY: Temporary waiver due to trauma
06/24/17
Monitor condition, assess pain
S/O: BAR – euhydrated. Difficult to examine, tries to flee cage immediately, no signs of hissing or swatting
Eating with excellent appetite, normal stool, normal urine. Very active in cage
EENT: Eyes clear, no ocular or nasal discharge
HL: Normal RR/RE
MSI: Unkempt hair coat, thin BCS
UG: Male
A: Mandublar symphiseal fracture noted on intake with small infected laceration at lower left lip; NSF findings on blood work; radiographs had decreased serosal detail in abdomen – R/O effusion vs due to underweight patient vs other — condition stable, appears comfortable
P: Patient was very hyperactive and aggitated on simbadol, appears comfortable at this time. No additional pain management indicated at this time. Convenia given on intake. Good prognosis
DVM Intake Exam
Estimated age: 1 year
Microchip noted on Intake? no
History : stray, possibly hit by car
Subjective: QAR but agitated, 7% dehydrated, ambulatory x 4, urinated dark brown urine in box, eats wet food when offered
Observed Behavior – very vocal during exam and tries to escape/scratches when flailing but does not attempt to bite – unpredictably upset during handling (doesn’t appear associated with pain)
Evidence of Cruelty seen – none
Evidence of Trauma seen – possible, fracture
Objective
T: 105.0 (very agitated and mobile) P: WNL R: WNL BCS 3/9 pink mucus membranes
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: all teeth present with minimal tartar, obvious mandibular symphyseal fracture, purulent laceration on the right mandible
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic, no evidence of pneumothorax
ABD: No masses palpated, repeatably painful on caudal abdominal palpation but no ruptured viscus or wounds identified, palpable bladder
U/G: intact male, two testicles
MSI: Ambulatory x 4, no masses noted, healthy hair coat, no visible wounds or road rash, diffuse fly eggs
CNS: mentation appropriate – no signs of neurologic abnormalities
Radiographs: marked generalized loss of abdominal serosal detail, no visible fractures, no evidence of pneumothorax
CBC: mild stress leukogram, low platelets but clumped, PCV 32%
Chemistry: unremarkable except elevated globulins (5.4). Potassium reads as >10 and calcium 1.6 – values incompatible with life, consider unlikely to be real.
Assessment: mandibular symphyseal fracture with infected laceration, peritoneal effusion (hemoabdomen vs. septic abdomen with ruptured viscus)
Plan: Gave 0.42 mL Simbadol SQ, became very hyperactive. Sedation with 0.07 mL Telazol for radiographs and brushing – gave 100 mL SQF, 0.31 mL Convenia SQ. Seek New Hope placement.
Prognosis: open
SURGERY: Temporary waiver due to trauma
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.
View all entries in: Safe Cats 2017-06