SIMON – 16332
Safe - 1-13-2018 Brooklyn
SAFE 1/13/18 *6 MONTH QUARANTINE* Introducing the World’s Sweetest Kitten Simon! @BACC. Simon came in with a wound that may have been caused by a cat fight, so he needs a 6 month quarantine. Despite his injury he’s SUCH A SWEETHEART! He purrs and kneads throughout his exams and is just the cutest little thing.
Care Center Location: Brooklyn
ZIP Code From: 11412
Intake Date: 12/17/17
Intake Type: Stray (DOH hold)
Medical Behavior: Green
Age: 11 weeks
Weight: 2 lbs 8 oz
Vet Notes: 8:39 AM
S/O: QARH. Allows all handling. Purrs throughout exam. Normal urine and stool. Eating well
EENT: Pink mm, teeth erupting appropriately, eyes clear, no ocular or nasal discharge, ears WNL
HL: Normal thoracic auscultation, no sneezing
ABD: Soft, non tender
INTEG: Healing wound ~1cm at right shoulder, healthy granulation tissue present, wounds at right flank healed
MS: ambulatory x 4, left shoulder (proximal humerus) protrudes cranially and dorsally when walking/bearing weight, slight crepitus in that area
A: Wounds – healing well; possible dislocation of left shoulder joint – no fractures seen on radiographs but large amount of space between humeral head and glenoid cavity of scapula
P: Continue with current treatment and monitoring plan. Good prognosis
Vet Notes: 1:37 PM
[Progress Exam Template]
S: P seems comfortable, wound has healthy granulation tissue
EENT: Clear OU, AU
MSI: Amb x 4, when walking, left shoulder sticks out craniolaterally, normal ROM of all joints of LEF leg, no pain on palpation
Wound on R brachium has healthy granulation tissue, wound is large 2x3cm and extends over the lateral elbow, mild swelling around wound
Additional wounds found today on dorsal lumbar region, 2 on the right side and 1 on the left side- scabs found, when removed some purulent bloody debris expressed
Mentation: BAR, friendly
A: Wound on R lateral brachium- unknown origin, previously reported swelling is improved
Abnormal left scapula r/o secondary to trauma vs. congenital, non-painful abnormal musculature, no fractures seen on x-rays
Wounds on dorsal lumbar region- unknown origin, r/o trauma vs. bite wound
Radiographs of left shoulder taken today- no abnorms noted
Continue ABs and pain meds
Ideally surgical repair of wound on RF leg to expedite healing.
Shaved around wounds on back and cleaned with dilute chlorhex
Is the Initial Medical Status being Changed?
New Medical Status:
Is the Initial Behavior Status being Changed?
New Behavior Color:
Spay-Neuter Waiver Documentation
Vet Notes: 3:53 PM
[Spay/Neuter Waiver – Medical Condition]
Your newly adopted pet has been diagnosed with an injury and the staff veterinarians are issuing a temporary waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.
Vet Notes: 3:50 PM
DVM Intake Exam
Estimated age: 10 weeks
Microchip noted on Intake? n
History : history of wound on right forelimb.
Subjective: Patient came in with a bandage and distal forelimb is very swollen. Removed bandage and large wound with purulent discharge, necrotic dead tissue to right lateral brachium.
Observed Behavior –
Evidence of Cruelty seen – n
Evidence of Trauma seen – y
P = 190
R = 24
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: wnl
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: both testicles palpable
MSI: Ambulatory x 4, skin free of parasites, no masses noted. Large necrotic wound to right brachium. purulent discharge, sever swelling to distal limb (2nd to bandage)
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment – Abscess, large wound.
Plan: Radiograph – no fracture noted nor observed, soft tissue swelling. Leave wound open with out bandage to allow swelling to subside.
Start antibiotics, SSD cream and Simbadol.
Temp waiver due to injury
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