SERENADE – 20751
Gone - 2-21-2018 Manhattan
GONE 2/21/18 Adorable AVERAGE Behavior Kitty – Post-Op Pyometra/URI – SERENADE Is Quite The Romantic!Serenade was found abandoned in an apartment and the finder noticed something was not right. She was brought to MACC where medical discovered she had a pyometra and spayed. She is currently on supportive care and would do best resting in a foster home rather than the shelter environment.
MANHATTAN CENTER
Serenade 20751
Location: Manhattan
Intake Date: 2/15/18
Intake Type: Stray
Medical Behavior: Orange
Sex: Spayed Female
Age: 5 years
Original Location: 10456
Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
17-Feb-2018
17-Feb-2018
L V T Notes: 10:37 AM
PCV 13%
T.S. 8.1g/dL
Simbadol bottle 64 0.5ml SQ at 10:05am
Onsior 0.35ml SQ
17-Feb-2018
17-Feb-2018
Progress Exam
Vet Notes: 8:41 AM
s/o. BAR, standing in kennel. Reported that she ate and drank the night before. Looks slightly lethargic.
HR- 228 T – 103. 7 R – 30, MM pink and wet
Incision site looks healthy with no signs of dis-c or infection.
Skin tent – normal
A: Hyperthermia – suspect possible bacterial infection related to the pyometra
P:
Reduce fluids to 15ml/hr
1) Continue on fluids but on 2 x maintenance rate
2) Clavamox susp 13.75mg/kg BID – 0.8cc for 14 days
VET 991493
16-Feb-2018
Blood Work Interpretation
Vet Notes: 4:38 PM
Post-op bloodwork performed
CBC:
Severe anemia – 12.5%
WBC 25.8, neutrophils 16.96, bands suspected, lymphs 7.33, monos 0.92
Plt 132
Chemistry:
Glu 188
Alb 2.1
Globs 5.3
ASSESSMENT: Severe anemia, inflammatory leukogram, thyrombocytopenia, hypoalbuminemia.
Pt is alert in kennel, ataxic, walking around, shivering, tachycardic.
Continue IVF at 25 ml/hr overnight. No antibiotics indicated.
Recheck PCV/TS tomorrow and full blood panel in 2 days.
1088
VET 991088
16-Feb-2018
Spay/Neuter Summary
Vet Notes: 4:40 PM
[Surgery Template – Cat Spay]
Was this cat in heat, pregnant or have a pyometra? Open Pyometra
Ventral Midline Incision was made half way between the pubic ridge and umbilicus 4 cm
Ovaries Ligated with the auto-ligation technique
Uterine Body Ligated with: a millers knot and a transfixation/circumfrential knot using 3-0 PDS
Abdominal Closure in a simple cont pattern using 3-0 PDS
Skin Sub Q closed continuously in a simple cont pattern for the sub-q layer and intradermal pattern for the skin with 3-0 PDS
Green Linear Tattoo Placed on Midline
Surgeon: 1493
Additional Comments: An addition hemostat clamp was placed at the uterine body prior to excision to ensure no leakage of the purulent material. The pyometra was confirmed by dissection.
Medical Assistant: 4:03 PM
Anesthesia Summary: Feline OHE
Pre Medication
Ketamine 100mg/mL injectable, 0.3 mL IM
Dexdomitor 0.5mg/mL injectable, 0.11 mL IM
Induction:
Butorphanol 10mg/mL injectable, 0.04 mL IM
Anesthesia Notes:
Size 4 fr. ET tube placed, maintained general anesthesia throughout procedure on isoflurane and O2. Used (non-rebreathing system with 0.5 L bag.
22 g IVC placed in RF cephalic vessel.
Intraoperative IV LRS at 5-10mL/kg/hr: 40 mL/hr
NSAID:
Robenacoxib (Onsior) 20mg/mL injectable, 0.35 mL, SQ, once, for post-operative pain relief. Given pre/post operatively.
Other
Simbadol 1.8mg/mL injectable, 0.5 mL SQ, once, for pain relief, given post-operatively.
Given Antisedan 5mg/ml –0.1 ml IM, once. at 4 PM.
Recovery
Uneventful
Anesthetist/Surgical Monitor (P#’s):
0391/1498
Start 0.5 cc simbadol 1.8 mg/ml sid x 4 days and 0.35 cc Robenacoxib 20 mg/ml sid x 2 days as pain management.
VET 991493
16-Feb-2018
Tech Exam
L V T Notes: 1:39 PM
Gave 0.11 mls SQ of Dexdomitor .5 mg/kg at 1:00pm for sedated rads of Abdomen = right lateral and VD. As per Dr. Anderson.
LVT-E 991390
16-Feb-2018
16-Feb-2018
Radiograph Review
Vet Notes: 1:32 PM
Possible pyometra- sedation for rads and exam
O: Sedated w/ 15mcg/kg dexdomitor. No HM ausuclted. Bradycardic d/t dexdomitor.
2-view AXR: uterus diffusely distended, rest of abdomen no abnormalities noted
A: Open pyometra
P: Surgery to spay this afternoon.
VET-P 991445
16-Feb-2018
16-Feb-2018
DVM Intake
Vet Notes: 11:13 AM
[DVM Intake]
DVM Intake Exam
Estimated age: approx. 5yo
Microchip noted on Intake? neg
Microchip Number (If Applicable):
History : stray, found to have discharge coming from rear end. Eating and drinking while here, normal temp.
Subjective: BAR. Growling, hissing. Pet was netted during LVT intake, and during DVM intake. Limited PE due to behavior. Moderate amount of purulent discharge noted on cage paper.
Observed Behavior –
Evidence of Cruelty seen – n
Evidence of Trauma seen – n
Objective
T =
P = wnl
R = wnl
BCS 5/9
EENT: Eyes clear, no nasal or ocular discharge noted
Oral Exam: did not assess
PLN: not assessed
H/L: NSR, NMA, Lungs clear, eupnic. Difficult to auscult due to growling, hissing, and being in net.
ABD: not assessed due to behavior and being in net.
U/G: Intact female. No vulvar discharge noted, but purulent discharge on cage paper.
MSI: Ambulatory x 4. Small amount of dried discharge around anal/vulvar area.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally
Assessment
possible pyometra (open?)
Prognosis: fair
Plan:
dexdomitor 15mcg/kg IM then take 2 view AXR to assess for possible pyometra.
SURGERY:
Okay for surgery
VET-P 991459
16-Feb-2018
LVT Intake
L V T Notes: 3:07 AM
[LVT Intake Exam]
Microchip Scan: negative, did not place
Evidence of Cruelty: no
Observed Behavior: hissing and growling, allowed handling via net, placed in feral den for comfort
Sex: intact female
Estimated Age: appx 5y+
Subjective: finder reported that animal had “leaking” from anus and inappetance, perianal area is wet but does not appear to be diarrhea, clear d/c from vagina, temp 100.5F
Eyes: clear
Ears: clean
Oral Exam: moderate staining, cat did not tolerate handling of head
Heart: WNL
Lungs: WNL
Abdomen: distended and fluid, non painful
Musculoskeletal: WNL BCS 5/9
Mentation: BARH
Preliminary Assessment: possible pyometra or other infection
Plan: DVM intake, in medical for observation
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: Gone Cats 2018-02