PRISSY – 15815
Safe - 1-15-2018 Manhattan Rescue: F.A.C.T Please honor your pledges: PayPal address: [email protected]
***SAFE 1/15/18 *** THIRD TIME ON LIST! SOMEONE IN THE FIVE BOROUGHS MUST BE ABLE TO PROVIDE A CHRISTMAS MIRACLE!! *Requires 6 months quarantine* Meet Prissy! This handsome boy is hoping to find his forever family @MACC. Prissy came to us as a stray and has bites of unknown origin. Prissy requires a 6 month in-home isolation period with the first month preferably in a veterinary hospital. If leaving the 5 boroughs, quarantine MUST be approved by the receiving city or township DOH. Please note, the 5 boroughs are easier for in home quarantine.
MANHATTAN CENTER
Hello, my name is Prissy. My animal id is #15815. I am a male tabby cat at the Manhattan Animal Care Center. The shelter thinks I am about 5 years 1 weeks old. – P
I came into the shelter as a aco impound on 09-Dec-2017.
Zip Code: 10456
Prissy is at risk for medical reasons, having been diagnosed with Upper Respiratory Infection, which is contagious to other cats. Prissy was also recently a victim of a bite from an unknown source and so requires a quarantine period of 6 months, with the first 30-45 days in a veterinary hospital. Behaviorally, we have no concerns for Prissy, whom we believe would be suited to most homes.
My medical notes are…
Weight: 8.4375 lbs
Intact male Scan negative for a microchip Inserted during the initial # 981020025099500 OU=clear but has gook Nose= No discharge AU=waxy Teeth= Right upper k9 fx Gum disease Bad breath Dehydrated Left front leg has minor abrasion Has a good appetite Dewormed with Pyrantel Flea Treatment= Para Defense As of now no signs of URI As of now no V/S/C/D
DVM Intake Exam Estimated age: 4-8 years based on dentition and overall appearance Microchip noted on Intake? Scanned neg on intake – MC placed during exam History : Semi-feral cat that has lived near the finder for several years Subjective: Initially dull in the kennel. Once I touch his face, he allows me to look in his mouth and ears, and touch his front paws. When I try to touch his ventrum, he stiffens, yowls and tries to get away. When the assistant removes pt from his kennel, he becomes very stressed and tense, yowling and trying to get away. Objective Initially dull, then very alert. Estimated 8% dehydrated. BCS 4/9. EENT: OD moderate blepharospasm, yellow mucoid discharge, chemosis and conjunctival hyperemia. OS mild yellow mucoid discharge, no blepharospasm. Ears clean, no nasal discharge noted. Oral Exam: Mild tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Soft, non painful, no masses palpated U/G: Male intact, testicles S/S MSI: Small bloody spot noted on dorsal aspect of left front leg – not actively bleeding, no lesion noted on leg. Ambulatory x 4, skin free of parasites, no masses noted, otherwise healthy hair coat CNS: Mentation appropriate after stimulation – no signs of neurologic abnormalities Rectal: Normal externally Fluorescein stain OD – no uptake Assessment: 1. Dehydration – R/O undiagnosed metabolic disease vs. secondary to URI/conjunctivitis 2. Conjunctivitis OU, blepharospasm OD. 3. Reported wound on underside – not seen. Small wound noted on left front leg, no tx needed. Prognosis: Fair Plan: 1. Move to isolation, start erythromycin OU BID x10 days 2. LRS 200 ml SQ SID x5 days 3. Monitor for other signs, consider CBC/chemistry/T4 if hydration and attitude don’t return promptly with conjunctivitis tx SURGERY: Temporary waiver due to URI 1088
[Spay/Neuter Waiver – Upper Respiratory Illness] Your newly adopted animal is in treatment for an upper respiratory illness. The veterinarian is temporarily waiving this animal from the spay/neuter requirements of the City of NY until such time as the illness has resolved and the pet has sufficiently recovered. At that time, this animal must come into compliance with the spay/neuter requirements.
S/O -QAR, shy/skittish, low growls intermittently but allows most of exam -great appetite -episode of blood tinged foamy vomitus in cage -mm pk, sl tacky; CRT <2 sec -no nasal discharge or sneezing -OU: severe blepharospasm, crusting mucoid discharge, conjunctivitis -eupnic, grade II/IV heart murmur, clear lungs -soft abdomen -open wound along caudal L thigh with mucoid discharge, does not allow full examination of area A Vomiting-suspect stress; r/o other primary GI vs secondary to metabolic dz Conjunctivitis Heart murmur Wound P -Convenia 0.4 ml SQ -Cerenia 0.4 ml SQ SID x 2 days -Simbadol 0.4 ml SQ SID x 4 days -Onsior 0.4 ml SQ SId x 3 days -recommend sedate tomorrow to clean/evaluate wound
Hx: Conjunctivitis, wound on LHL. Given Convenia, Cerenia, Onsior, Simbadol. Pt vomited once yesterday morning but has not vomited since then. S: Alert, quiet, tense. Growls, doesn’t get up for exam – defecates when I look at his face. Allows restraint for exam of LHL. O: QAR-H, BCS 5/9, moderate muscle wasting. MMs pink and moist EENT: Moderate conjunctivitis with crusty yellow discharge lining eyes. H/L: Grade 1-2/6 soft whooshing end-systolic murmur PMI L side. Eupnic, quiet lung sounds. Abd: Not palpated M/S/I: Wound on caudal aspect of LHL just at the stifle – two oval full-thickness punctures, each about 1 cm dia, connected by a thin strand of skin. The skin surrounding the wound is bruised. Inside the wound there appears to be a moderate amount of pocketing and a mild amount of serous discharge – not purulent. UG: Male intact Neuro: Alert and appropriate, no sign neurological deficiencies A: 1. Wound LHL – appearance is consistent with a bite wound, improved on abx 2. Soft heart murmur 3. Conjunctivitis 4. One episode of vomit Short-term prognosis: Good P: 1. Flush wound, consider closing wound with a drain 2. Continue other tx as scheduled 1088
To Whom It May Concern- Prissy 15815 is an adult male intact cat who presented on December 10, 2017 with conjunctivitis and a wound on the caudal aspect of his left stifle. On closer exam, the wound was consistent with a bite wound. Prissy is recovering well on antibiotics with a plan for delayed primary closure. If you have any further questions, please don’t hesitate to call. Sincerely,
Hx: Bite wound to LHL S: Alert, tense – growls, allows minimal exam O: BAR-H, MMs pink and moist M/S/I: Wound on the caudal aspect of the left hind leg – one larger wound today (the thin strand of tissue between the two wounds is no longer present). Surrounding bruising is significantly improved and today appears just as some erythema and thickening in the skin surrounding the wound. Moderate moist discharge. Additional wound noted on left front leg – difficult to examine due to behavior A: Bite wounds Pt sedated with ketamine 0.3 ml, Dexdomitor 0.03 ml and butorphanol 0.06 ml combined IM – the needle disconnected from the syringe and most of the medication splashed out onto my hand. Pt was re-dosed with 0.2 ml ketamine and 0.1 ml Dexdomitor IM. Pt masked and isoflurane and oxygen was provided. The skin around the LHL and LFL wounds was clipped and cleaned with chlorhexidine scrub. The LFL wound has been healing and is now a slightly thickened nodule with a tiny bit of bloody discharge. The LHL wound is full-thickness through the skin, and the underlying muscle layer is slightly thickened and erythematous. There is a moderate amount of pocketing – about 2-3 cm in all directions. The wound was flushed with diluted chlorhexidine and then a 1/2″ Penrose drain was placed from the most proximal aspect to the most distal aspect of the pocketing. The drain was secured in place with 3-0 Monocryl at the entrance and exit wounds. The margins of the original wound itself was freshened and then closed with 2-0 Monocryl, with a tacking suture in the center and then one line of simple continuous sutures. Pt recovered uneventfully. Heat support was provided. E-collar placed. Remove drain in 3-5 days. Remove sutures in 10 days. 1088
Progress Exam Hx: Conjunctivitis, bite wound on LHL. Given Convenia, Cerenia, Onsior, Simbadol. Sedated 12/13 and LHL wound clipped, cleaned, and drain placed. S/O: – BAR, growling and hissing, caution, limited PE – No reports of c/s/v/d, normal U/BM, eating well, euhydrated, and comfortable – LHL wound/drain site is CDI – OU conjunctivitis, OS>OD, OS blepharospasm – H/L: Grade 1-2/6 soft whooshing end-systolic murmur PMI L side, previously heard. Unable to assess today due to behavior. Eupnic, normal RR/RE. A: 1. Wound LHL – appearance is consistent with a bite wound, improved on abx 2. Soft heart murmur 3. Conjunctivitis 4. One episode of vomit — none today Short-term prognosis: Good P: 1. ctm in med ISO 2. Continue other tx as scheduled 3. Remove drain 12/16 – 12/18 4. Remove sutures 12/22
Recheck exam in med iso with hx of conjunctivitis, bite wound on LHL S/O: BAR – visual exam due to behavior – e/d well – no c/s observed, OU mild conjunctivitis – drain no assessed A: stable condition – healing wound + conjunctivitis P: recheck drain +/- remove
Moved out of med iso and placed in iso yesterday. Open mouth breathing, bilateral nasal discharge (R>L), OU conjunctivitis and OS blepharospasm noted on Rounds. p moved back down to Med Iso Hx: Conjunctivitis, bite wound on LHL. Given Convenia, Cerenia, Onsior, Simbadol. Sedated 12/13 and LHL wound clipped, cleaned, and drain placed. A: 1. Wound LHL with drain placed – appearance is consistent with a bite wound 2. Soft heart murmur heard on intake 3. Conjunctivitis OU 4. URI (nasal + ocular discharge, open mouth breathing) P: moved back to Med Iso give LRS 80mL SQ once today start cerenia 0.4mL SQ SID x 3 days start simbadol 0.5mL SQ SID x 3 days start doxycycline 0.8mL PO SID x 10 days start nebulization BID x 7 days continue erythromycin OU, last dose 12/19 Remove drain 12/16 – 12/18 Remove sutures 12/22
S/O -BAR, friendly and interactive -good appetite -sneezing, moderate nasal congestion -appears eupnic -bite wound with drain in place on LH A 1. suspected bite wound 2. URI P remove drain, reassess wound today or tomorrow CWCT
Hx: Heart murmur, bite wounds to LHL and LFL, drain was placed but removed yesterday. Pt received Convenia on 12/11/17. Diagnosed with URI – on doxycycline and erythromycin, Simbadol, nebulization. S: Active in kennel – pt walks around, has great appetite, allows head petting but jumps, runs away and growls when I try to examine hind leg. O: BAR-H, MMs pink and moist EENT: Mod mucoid ocular discharge OU and seromucoid nasal discharge. PLNs: Not palpated H/L: Sniffling and sneezing. Not ausculted today. Abd: Not palpated M/S/I: Amb x4. Wound to LHL – original wound has partial-thickness ulceration, granulation tissue, mild moist purulent discharge. The drain is not present, and the drain entrance/exit sites are healing well with no swelling or discharge. Wound to LFL – mild swelling, a small amount of purulent bloody discharge is expressed when the wound is palpated. Neuro: Alert and appropriate, no sign neurological deficiencies A: 1. Wounds to LHL and LFL – appear to be infected despite Convenia injection 2. URI and conjunctivitis Short-term prognosis: Good P: Add Clavamox 1 ml PO BID x10 days 1088
Prissy was scheduled for an AM tx of simbadol (1.8 mg/mL) Gave 0.5 mL from bottle number 45 at 9:25 AM DVM 1382 LVT 1461
Prissy was scheduled for an AM Tx of Simbadol (1.8 mg/mL) Gave 0.5 mL from bottle #45 at 8:40 AM DVM 1382 LVT 1461
Details on my behavior are…
Behavior Condition: 3. Yellow
KNOWN HISTORY:: Prissy was brought in as a stray, so we don’t have any behavioral history or tendencies in a home environment.
MEDICAL BEHAVIOR:: Subjective: Initially dull in the kennel. Once I touch his face, he allows me to look in his mouth and ears, and touch his front paws. When I try to touch his ventrum, he stiffens, yowls and tries to get away. When the assistant removes pt from his kennel, he becomes very stressed and tense, yowling and trying to get away.
ENRICHMENT NOTES:: 12/10/17 Conjunctivitis. Asleep in litter box, woke when door opened. Lay in place, seemed unsure, eyes somewhat dilated. Sniffed hand, then alternately leaned into and away from pets. Curled up and went back to sleep after door closed. Sprayed thunderease. 12/11/17 Moved to medical, concern over bloody vomit. Blood-tinged fluid on towel in cage? Hidden completely under bedding on approach, lay in place when uncovered. Seemed lethargic today. Allowed all pets, no real response. Lifted head and looked around after door closed, then ate offered treats.
Cage Condition:: No change
Reaction to assessor:: Prissy remains neutral, sitting upright on his cage bedding during the approach.
Reaction when softly spoken to:: Prissy remain immobile in place.
Reaction to cage door opening:: Prissy began to eat, soft body, normal shape eyes, ears erect and forward.
Reaction to touch:: Prissy leans into the assessor’s hand, purrs and appreciates the petting on the head and body.
Reaction to being picked up:: He becomes antsy then jumps back into the cage.
ACTIVITY LEVEL:: Laid back
VOCAL:: Quiet
CHARACTER TYPE: : Sweet,Curious
BEHAVIOR DETERMINATION: : Average
Behavior Asilomar: H – Healthy
BEHAVIOR SUMMARY:: Prissy 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.
For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected]. Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
View all entries in: Safe Cats 2018-01