MINX – 11167
Safe - 11-11-2017 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
***SAFE 11/11/17*** WATCH VIDEO! 11 year old MINX was brought in by his owner. Minx is a social, friendly purring kitty who has a wound on his back that is not healing. He has an old hematoma on one year and shelter is checking him for ringworm. Please help this sweet senior boy today.
MANHATTAN CENTER
Hello, my name is Minx. My animal id is #11167. I am a desexed male black cat at the Manhattan Animal Care Center. The shelter thinks I am about 11 years old. – P
I came into the shelter as a euthanasia request on 30-Oct-2017.
Minx is being placed at risk due to severe wound on back of neck that will require possible biopsy. At this time there are no know behavior concerns for Minx.
My medical notes are…
Weight: 10.2 lbs
Exam Estimated age: 11 year old intact cat Microchip noted on Intake Scanned negative for microchip History : Reported that for the past two weeks he has been urinating on himself, very lethargic, Has went to the vet but it has not healed, he has open wounds scratching himself and licking himself. Evidence of Cruelty seen – None Evidence of Trauma seen – None EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MSI: Ambulatory x 4, skin free of paras, no masses noted, healthy hair CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Assessment Prognosis: Plan: SURGERY: Okay for surgery Temporary waiver due to Permanent waiver due to
High White Blood Cell Count – 19,550 – neutrophillia High Total Protein – 9.1 with high globulins 6.8 Indicative of chronic inflammation and/or infection
3 view chest for metastatic disease – clear
[DVM Intake] DVM Intake Exam Estimated age: 11 years Microchip noted on Intake? No History : O/R for euthanasia due to unresolved medical issue – has a large wound on back and scabbing around neck and ear pinna – was treated at a low cost mobile clinic but client is not seeing improvement – unclear as to how this cat was treated Subjective: BARH Observed Behavior – Social, purring, rolling, kneading allows all handling Evidence of Cruelty seen – No Evidence of Trauma seen -No Objective T = P = 200 R = 24 BCS = 4/9 EENT: Mild LSOU, Old hematoma on left ear with scarring of pinna and right ear is corrugated and thickened with some scabbing, no nasal or ocular discharge noted Oral Exam: Dental tartar noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: neutered male MSI: Ambulatory x 4, skin free of parasites, no masses noted, large 3×3″ patch of excoriated, ulceration and oozing skin with alopecia – non healing, several other patches of ulceration around neck and ears CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: not assessed Assessment Large patch of excoriated skin with ulceration and oozing with several smaller lesions – r/o Eosinophillic Granuloma Complex, Infection, Neoplasia Dental Disease Prognosis: Fair Plan: Impression Smear of lesions – Mixed population including Eosinophils, PMNs and Lymphs with indication of intracellular cocci Convenia 8 mg/kg Once = 37 mg Cerenia 1 mg/kg SID x 5 PO or SQ = 4 mg Prednisolone 2mg/kg SID = 10 mg PO
[DVM Intake] DVM Intake Exam Estimated age: 11 years Microchip noted on Intake? No History : O/R euthanasia for medical condition – cat has a large wound on back that is not healing. It was taken to a low cost mobile clinic for treatment – unsure what the treatment was Subjective: BARH Observed Behavior – Friendly, social, purring, kneading rolling on back Evidence of Cruelty seen – no Evidence of Trauma seen – No Objective T = P = 200 R = 24 BCS = 4/9 EENT: Mild LSOU, Left ear has old scarred down aural hematoma, right pinna is thickened and corrugated with circular excoriations, no nasal or ocular discharge noted Oral Exam: Dental Tartar noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: neutered male MSI: Ambulatory x 4, skin free of parasites, no masses noted, large 3×3″ patch of alopecia dorsal lumbar region that is excoriated, ulcerated, oozing. Cat is very puritic. Also several smaller patches around neck and ears CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: not assessed Assessment large – non healing wound with secondary infection possibly due to self trauma – r/o eosinophilic granuloma complex, Mast Cell tumor, allergic dermatitis, other neoplasia Prognosis: Fair to Good depending on diagnosis Plan: Impression smear – Pyogranulomatous inflammation consisting of Eosinophils, Neutrophils and Lymphs and intracellular bacteria noted – cocci 37 mg Convenia SQ Cerenia 4 mg either PO or SQ SID x 5 10 mg Prednisolone SID x 5 then 5 mg Sid x 5 and re-evaluate Culture for Ringworm
Starting Simbadol – 0.6 ml SQ SID
Hx: Wound on back. Pt was taken to mobile veterinarian for treatment but we don’t have the medical records so we don’t know what was done. Intake at ACC yesterday – pt started on Convenia, Cerenia, oral prednisolone, Simbadol. DTM culture performed this morning. S: Alert, very still in kennel except for breathing. Pt growls when I get near his back but allows light restraint for other handling. O: QAR, MMs pink EENT: No discharge OU, nose. Tip of AD pinna are excoriated, alopecic and erythematous; AS has fibrosis of the cartilage. Multiple spots of alopecia, excoriation, scarring and erythema on the dorsal skull. H/L: HR 24, quiet lung sounds. Grade 2-3/6 systolic heart murmur. Abd: Soft, no masses M/S/I: Large wound (4″ long x 2″ wide) on dorsal abdomen – covered with a large orange crusted layer, moist discharge. Neuro: Alert and appropriate A: Chronic wound on back and similar smaller lesions on the head and ears – R/O burn vs. autoimmune disease vs. eosinophilic granulomas vs. other. Secondary self-trauma. Short-term prognosis: Fair P: 1. Continue treatments – add gabapentin 5 mg/kg PO BID for a few days, then increase to 8 mg/kg 2. Recommend regular flea treatments 3. Recommend biopsy of the lesion 1088
Presented with large ulcerative wound in between shoulder blades and severe dermatitis on head and along ear pinna; concern for severe atopic dermatitis or cutaneous lymphoma; currently on prednisolone, cerenia, convenia, simbadol and gabapentin S/O -BAR, dysphoric from simbadol; very affectionate, rolling around cage, allows all handling -great appetite -mm pk, moist; CRT <2 sec -crusting lesions on top of head -AD: severe fibrosis of ear pinna with crusting dermatitis along margins -AS-crusting dermatitis along ear pinna margins with fibrotic changes; lesions appear less active today -large, severe ulcerative wound in between shoulder blades; granulation tissue forming and wound appears dry today; contracture of tissue around edges -soft abdomen -mild pruritus along caudal dorsum A Dermatitis, r/o severe allergy vs cutaneous lymphoma Large ulcerative wound-suspect due to self excoriation from previously severe pruritus P CWCT Recommend biopsy of lesions after placement, may need to discontinue prednisolone for 5-7 days prior to biopsy Recommend diet trial with hypoallergenic diet +/- allergy testing
Pet presented to MACC medical for owner requested euthanasia. Pet has extensive superficial wounds along the dorsal aspect of shoulders and thoracic region, small wounds present on back of neck, ears, and top of head. Pet has severe paresthesia related to the largest wound on the back in particular. Pet appears dirty but apparently healthy otherwise. Dr. 1307 examined patient and requested CBC/Chem, and 3 view chest radiographs. CBC/Chem performed,awaiting DVM review, Chest rads obtained, pet was uncooperateve for DV radiograph, will need sedation if re-take is required. E-Collar placed to prevent pet from continuing to bite/chew at wounds. FeLv/FIV snap test run = Negative. FVRCP, Rabies vaccine administered. No MC or topical flea product given due to location of the wounds. 1398
Impression smear performed on wound on back: Occasional intracellular cocci in neutrophils and basophil. Differential count of WBCs seen: 7 eosinophils 1 basophil 20 lymphocytes 72 neutrophils
DTM culture taken from areas of alopecia on head
Details on my behavior are…
Behavior Condition: 1. Green
You may know me from such films as…
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