NICHELLE – A1116890
Safe - 7-1-2017 Manhattan
SAFE 7/1/17 Nichelle is a sweet kitten who was brought into the shelter because the finder saw he was unable to walk. He will need to be seen by a vet asap to be evaluated.
NICHELLE – A1116890
MALE, WHITE, DOMESTIC SH MIX,3 mos
STRAY – EVALUATE, NO HOLD
Intake condition EXAM REQ Intake Date 06/29/2017, From NY 10027, DueOut Date ,
Medical Behavior Evaluation GREEN
addendum: excellent appetite, intention tremor seen while eating, ddx: cerebellar hypoplasia vs other 06/29/17 12:17 DVM Intake Exam Estimated age: 16weeks Microchip noted on Intake? no History : stray, found in building, unsure whether finder saw him jump or fall from a window but reported unable to walk Subjective: Observed Behavior – swee, quiet, allows full exam Evidence of Cruelty seen – no Evidence of Trauma seen – possible trauma to forelimbs Objective T = P = 190 R = 18 BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: decidiuous denition only, no adult teeth seen PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact male, small soft bladder MS: – non abmulatory, sits back on hinlimbs when placed in sternal, falls when tries to wt bear on forelimb – painful on carpal palpation L>>R – thickned stifles bilaterally, patellas easily moveable Int: skin free of parasites, no masses noted, healthy hair coat CNS: QAR, PLR WNL, CPs WNL x4, tait tone and anal tone WNL Rectal: Assessment forelimb lameness bilaterally thickned stifles Plan Rads: suspect salter harris fracture of distal left radius, chest WNL, hindlimbs WNL 0.25ml Simbadol SQ SID x7d 0.19ml Onsior SQ SID x3d Prognosis: good, recommend rechecking forelimb rads in 2 weeks to monitor early closure of physis patellar laxity most likely normal in young kitten, open dx for thickening of stifles bitlaterally SURGERY: Okay for surgery
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