MULVEY – 11920
Safe - 11-13-2017 Manhattan Rescue: All Sentient Beings Please honor your pledges: http://animalloversnetwork.org/
*** SAFE 11/13/17 *** WATCH HER VIDEO!! MULVEY was brought in as a stray – she is about 9 or more years old and was weak and had some intention tremors. She needs further medical eval – but was purring on her exam. Please help this poor kitty today.
MANHATTAN CENTER
Hello, my name is Mulvey. My animal id is #11920. I am a female white cat at the Manhattan Animal Care Center. The shelter thinks I am about 9 years old. – P
I came into the shelter as a aco impound on 06-Nov-2017.
Mulvey is a geriatric cat with possible underlying conditions such as muscle wasting, dehydration and lethargy. The family taking Mulvey should be prepared to follow up with veterinary care. There are no know behavior concerns for Mulvey at this time (average determination).
My medical notes are…
Weight: 5.6 lbs
[DVM Intake] DVM Intake Exam Estimated age:8-10y Microchip noted on Intake? n History : found on street Subjective:muscle wasting. licks food when offered Observed Behavior -allows exam, purrs Evidence of Cruelty seen -n Evidence of Trauma seen -n Objective T =cool to touch 92.1 P = 120 R =purring BCS 1/9 EENT: aging changes to eyes, ears clean, no nasal or ocular discharge noted Oral Exam: moderate tartar PLN: No enlargements noted H/L: NSR, NMA, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female did not shave MSI: cam stand, no obvious fractures, very weak skin free of parasites, no masses noted, dry coat CNS: some intention tremors Assessment; Open-suspect serious underlying disease. hypothermic Prognosis:poor Plan:cbc/chem retro test test gave 150cc lrs sq SURGERY: Permanent waiver due to age/infirmity
retro test neg chemistry machine not working cbc unremarkable
Hx: Came in yesterday, was very weak and underweight. Mild intention tremors. CBC run (reported unremarkable) but unable to run chemistry. S: Purring, allows all handling. Drinking from water bowl constantly. O: BAR, estimated 8% dehydrated, MMs pale pink EENT: Moderate tartar and gingivitis. Clean ears, eyes. Face in water bowl so muzzle is wet. H/L: NSR, NMA. Eupnic. Abd: Soft, nonpainful M/S/I: Emaciated, generalized muscle wasting, ambulatory UG: Female Neuro: Appears alert and appropriate Chemistry run today: Elevated BUN (127) with normal creat, elevated protein (9.0) and globulins (5.9), elevated Na (179) and Cl (143) A: 1. Dehydration, azotemia – creat possibly artificially lowered by muscle wasting 2. Elevated globulins – R/O dental disease vs. urinary tract infection vs. other 3. Dental disease P: 1. Placed IVC and started IV LRS – initial bolus of 50 ml, then run at 15 ml/hr 2. Start Clavamox 0.6 ml PO BID x7 days 3. Run UA and repeat CBC/chemistry tomorrow 1088
Severe dehydration, severely elevated BUN (127) but creat WNL (1.6) on intake; started on IVF at 20 ml/hr, running this morning S/O -QDR, affectionate but appears lethargic -no appetite -mm pk, tacky with moderate hypersalivation -eupnic, low purr on auscultation -soft, doughy abdomen -ambulatory x 4 but appears weak -mild LH lameness, crepitus in stifle, decreased hip extension; muscle atrophy compared to RH A 1. Depressed/lethargic 2. Elevated BUN-consider GI irritation/inflammation likely due to severe elevation in BUN and normal creat; r/o dehydration vs other 3. Severe muscle wasting P Gave dexamethasone SP 0.4 ml IV Concern for advanced underlying disease process; GI disease is considered likely due to severe muscle wasting, severely elevated BUN and lack of other abnormalities on blood work but further diagnostics including an abdominal ultrasound +/- endoscopy may be necessary for a definitive diagnosis; today we gave a palliative steroid injection to see if this will improve her overall appetite and comfort until placement
S/O -QAR but much brighter today! affectionate and head butting -eating dry kibble well! appears nauseated by canned food that she was previously offered -mm pk, moist; CRT <2 sec; mild hypersalivation -OU: open and clear -purring on auscultation but no murmurs noted -soft, doughy abdomen -much more energetic today, ambulating well -mild RH lameness with guarding of hip A 1. Diffuse muscle wasting-suspect underlying GI disease (r/o lymphoma vs IBD) 2. RH lameness-suspect arthritis of stifle and hip P Has responded well to palliative steroid injection given on 11/8; although underlying condition is unknown, GI disease is considered likely but further diagnostics including abdominal ultrasound +/- endoscopy would be necessary for definitive diagnosis; given her response to steroids, it may be reasonable to continue these palliatively but it would be difficult to provide long term prognosis without diagnosis Cerenia 0.4 ml IV SID x 4 days Sucralfate 1/2 tab slurry PO BID x 5 days Gabapentin 50 mg/ml: 0.5 ml PO BID x 7 days Continue prednisolone 2.5 mg PO SID until placement B-12: 0.25 ml SQ SID x 2 days, then continue weekly x 6 weeks Recommend hypoallergenic diet trial with z/d if further diagnostics are not pursued after placement
Repeat blood work available for review CBC-mild to moderate non regenerative anemia (24.7%), low eosinophils Chemistry-hypernatremia (169, improved), creat 0.8 (previously 1.6), BUN high normal (35, previously 127) A 1. Anemia-was likely present on intake but masked by severe dehydration; suspect chronic disease 2. Elevated BUN-improved and BUN now WNL but still high normal and is more elevated in relation to creat 3. Hypernatremia-improving, likely due to dehydration
Recheck – in medical for appearance of chronic illness – IBD vs lymphoma vs other: S/O: BAR – remains mildly dehyd. with general muscle wasting but good appetite for wet food, e/d well – MM pink, OU clear – h/l nsf – amb x 4, soft abd. A: condition is stable/showing overall improvement with attitude, as previously reported yesterday P: cont. with current tx and reevaluate
Per 1088, Placed 24g IVC in RFL cephalic vein. Bolus IV fluids (50mL LRS), then maintain at 15mL per hour. BG taken with glucometer- 99. Full chemistry panel pending.
CBC/Chem run from sample taken with LHL (medial saphenous) using a 22g butterfly catheter. Collected 3mL
gave fvrcp RFL gave pyrantel 0.5ml PO FIV/FELV snap test negative
Details on my behavior are…
Behavior Condition: 1. Green
KNOWN HISTORY:: Mulvey was brought in as a stray, so we don’t have any behavioral history or tendencies in a home environment.
MEDICAL BEHAVIOR:: Observed Behavior -allows exam, purrs
ENRICHMENT NOTES:: Resting on bedding, facing front, soft eyes and body. Seems really run down, clearly not feeling well. Shifted forward slightly when door opened, leaned into pets, purred. Ate a few treats.
Cage Condition:: Cage is neat
Reaction to assessor:: Mulvey remains neutral, lying down on her cage bedding.
Reaction when softly spoken to:: Mulvey becomes alert with soft eyes.
Reaction to cage door opening:: Mulvey remains immobile in place.
Reaction to touch:: Mulvey leans into the assessor’s hand, purrs, and appreciates the petting.
Reaction to being picked up:: Allows the pickup then slowly walks back into the cage.
ACTIVITY LEVEL:: Laid back
VOCAL:: Quiet
CHARACTER TYPE: : Sweet,Affectionate
BEHAVIOR DETERMINATION: : Average
Behavior Asilomar: H – Healthy
BEHAVIOR SUMMARY:: Mulvey interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.
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