NICHJOU – A1098214
Safe - 12-5-2016 Brooklyn
NICHJOU – A1098214
A1098214 – NICHJOU
MALE, ORG TABBY / WHITE, DOMESTIC SH MIX,4 mos
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition INJ MINOR Intake Date 11/29/2016, From NY 11434, DueOut Date 12/02/2016,
Medical Behavior Evaluation GREEN
Medical Summary 11/29/16 Check sick kitten – transfer from Queens. Microchip scan neg. O: BARH. mm=pink, moist, CRT<2 s. Vert friendly, social, purring. Allows all handling. ORAL: Adult incisiors erupted. Remaining teeth deciduous. EENT: No oculonasal discharge. Dried black material on left side of face. H/L: Lungs clear, no murmurs/arrhythmias. ABD/UG: Intact male. Pot-bellied appearance with prominent, mildly thickened small intestines. Grainy material palpable in cranial intestines. Dark gray to black diarrhea. MS: Amb x 4 with right forelimb lameness. Mod. swelling of right front paw and metacarpus, with dried black material stuck to palmar aspect. No palpable fractures, not painful on palpation. NEURO: Anisocoria – R pupil> L pupil. Pos menace and PLR OU. A: Diarrhea with abnormal SI palpation – suspect foreign material ingestion. Diarrhea is similar in color to material dried on face and fur, so possibly cat ingested material that has been stuck to him – r/o tar, asphalt, motor oil. Right front paw injury, cellulitis +/- infection. Anisocoria – Ddx: CNS disease (trauma, infection, inflammation), toxicity. P: Convenia 80 mg/ml 0. ml SQ administered. Soaked paw in dilute chlorhexidene and cleaned off as much as possible. Has a large, full thickness skin/SQ open wound around metacarpal pad ; additional wounds associated with pads of digits 4 and 5. Unable to clean off all material as it is tarry and well adhered and causing pain. Buprenorphine S/R 0.08 ml SQ administered. Recheck in AM, sedate and clean wounds more thoroughly as long as neurologic status is stable. Good prognosis.
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