PEPSI – A1119430
Safe - 7-30-2017 Manhattan
SAFE 7/30/17 – Pepsi is a super sweet kitty who came in with a pretty bad tail degloving injury. He will likely need to have his tail amputated, but that doesn’t stop him from being incredibly social and friendly! Please let us know as soon as possible if you can take Pepsi!
A1119430 Pepsi 2yr Neutered Male Brown Tabby DSH 9.0lbs
Intake: Stray 7/23/17
LVT Exam 07/23/17
Sex: intact male
Age: appx 3y
Nose: no d/c
Teeth: mild staining
If abnormal BCS: WNL 5/9
Hair Coat: WNL
Any injuries: degloved tail about 3/4 and cellulitis in remaining portion, moist surface, cat is not grooming or bothering area
Behavior: allowed all handling, sweet and affectionate
Medication: 0.4ml convenia SQ and 0.54ml simbadol, preventatives given
DVM Exam 07/23/17
DVM Intake Exam
Estimated age: 2 years old bnased on beginning of secondary sex characteristic development and clean teeth
Microchip noted on Intake? Scanned neg on intake
History : Found outside, no health hx given
Subjective: Friendly, comes to front of kennel for petting, allows all handling
Evidence of Trauma seen – Tail wound – see below.
BAR, estimated 5% dehydrated, BCS 5/9, MMs pink and moist
EENT: Eyes clear, ears clean, small nasal planum ulceration but no nasal discharge noted
Oral Exam: Clean adult teeth
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Slightly thick and doughy, no masses palpated
U/G: Male intact
MSI: Tail is partially amputated (about 8″ from the base), and the distal 6″ of the remaining tail is swollen (about 2 cm dia, all the way to the tip) and degloved, with pink granulation tissue exposed. There is a thin crust on some areas of the granulation tissue with some fur stuck onto it, and a very small amount of purulent discharge at the distal tip of the tail. Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally
Sedated with 0.1 ml ketamine, 0.1 ml Dexdomitor and 0.1 ml butorphanol IM – but most of the medication was not injected because the needle popped off the syringe as I was injecting, so much of it went into the air. Administered additional 0.05 ml Dexdomitor, 0.35 ml ketamine and 0.04 ml butorphanol.
The tail was cleaned with chlorhexidine, gently wiped with saline-moistened gauze, and wrapped with SSD ointment, an Adaptic pad, cast padding and Vet Wrap.
Halfway through the cleaning, pt began to wake up so an additional 0.1 ml Dexdomitor was administered to finish placing the bandage.
1. Severe tail wound – possibly a strangulation-type injury (suspected due to the degree of swelling)
2. Mild dehydration
1. Amoxiclav 45.7 mg/ml 1.3 ml PO BID x10+ days
2. Onsior 0.4 ml SQ SID x5 days
3. LRS 200 ml SID x2 days
4. Change bandage q2 days. Consider tail amputation due to the significant length of time that will be needed to heal this wound, and the degree of scar tissue that will be involved (vs. normal furred skin).
SURGERY: Okay for surgery – consider tail amp at time of sx
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View all entries in: Safe Cats 2017-07