QUINCY – A1112894
Safe - 5-26-2017 Manhattan
SAFE 5/26/17 QUINCY is not feeling well – has some conjunctivitis in eyes, a URI and is dehydrated. Needs rescue!
MALE, GRAY TABBY / WHITE, DOMESTIC SH MIX,5 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition ILLNESS Intake Date 05/22/2017, From NY 11216, DueOut Date 05/25/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 3-5 years Microchip noted on Intake? History : stray; was found perched on a fence where it had been for a few days Subjective: BAR Observed Behavior – very interactive, sweet; allows handling Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective BCS 3.5/9 EENT: OU-blepharospasm, increased epiphora severe mucoid nasal discharge and congestion; swallowing hard due likely due to mucous drainage Oral Exam: mm pk, tacky; CRT <2 sec; mod tartar/staining PLN: No enlargements noted H/L: no murmurs or arrhythmias; eupnic; referred upper airway noise ABD: soft, nonpainful; doughy, no palpable abnormalities U/G: male intact MSI: ambulatory x 4 with no signs of orthopedic dz; mild diffuse muscle wasting CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment URI with conjunctivitis underweight-r/o parasites vs malnourishment vs other Plan doxycycline x 10 days erythromycin OU BID x 10 days 100 ml SQF x 3 days 0.3 ml dex SP SQ mirtazapine q3d monitor appetite-if no improvement, then can add cerenia Prognosis: excellent SURGERY: temp waiver d/t URI
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View all entries in: Safe Cats 2017-05