MUFFIN – A1112907
Safe - 5-25-2017 Manhattan
SAFE 5/25/17 Super sweet, head-butting Muffin is 14 years old and her owner dumped her for pet health. She has some chronic rectal bleeding – and possible IBD, dental disease but will need a full medical evaluation to determine what is exactly wrong. Needs a retirement home asap!
MUFFIN – A1112907
SPAYED FEMALE, CALICO, DOMESTIC SH MIX,14 yrs
OWNER SUR – AVAILABLE, NO HOLD Reason PET HEALTH
Intake condition EXAM REQ Intake Date 05/23/2017, From NY 10463, DueOut Date 05/23/2017, I came in with Group/Litter #K17-098182.
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: reported to be 14 Microchip noted on Intake? neg History : owner surrender along with another cat; owner stated both cats were bleeding from rectum when they use the bathroom but otherwise are doing well Subjective: BAR Observed Behavior – very interactive, head butting; allows handling Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: mm lgt pk; significant tartar build up and gingivitis; drooling PLN: No enlargements noted H/L: difficult to auscultate due to purring but no obvious murmurs/arrhythmias ABD: soft, nonpainful; doughy; no palpable abnormalities; had a soft-normal stool in carrier-no frank blood noted U/G: spayed MSI: ambulatory x 4 with no signs of orthopedic disease; mild to moderate diffuse muscle wasting CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: anal glands moderately full, dark liquid d/c-easily expressible Assessment 1. chronic rectal bleeding-r/o anal gland inflammation vs chronic colitis (IBD vs lymphoma) vs other 2. mild muscle loss-r/o chronic GI disease vs systemic dz vs other 3. periodontal dz 4. drooling-r/o behavioral vs dental dz vs nausea vs other Plan Rec’d CBC/chem fortiflora SID monitor bowel movements-if diarrhea noted, then rec’d adding metronidazole but also may need further dx work up including AUS to evaluate further for chronic GI disease Rec’d dental cleaning with possible extractions Prognosis: good to fair
Came in With
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View all entries in: Safe Cats 2017-05