SMITH – A1120542
Gone - 8-2-2017 Manhattan
GONE 8/2/17 SMITH is a 3 month old kitten with a URI and conjunctivitis. He also has a spinal abnormality. If not rescue shelter is recommending euth.
SMITH – A1120542
MALE, WHITE / BLACK, DOMESTIC SH MIX,3 mos
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition ILLNESS Intake Date 08/01/2017, From NY 10455, DueOut Date 08/04/2017,
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: 10-12 weeks Microchip noted on Intake? neg History :kitten found in a subway station; given 25 ml SQF, 0.05 ml simbadol SQ, started on doxycycline and erythromycin overnight Subjective: QAR Observed Behavior – resting sternally in cage; allows handling but vocalizes occasionally; is able to walk but prefers to lie down; ate some canned food this morning Evidence of Cruelty seen – none Evidence of Trauma seen – Objective BCS 4/9 EENT: OU-mild blepharospasm, inc epiphora; mild crusting periocularly mild serous nasal discharge, congested Oral Exam: mm pk, sl tacky; deciduous dentitia present PLN: No enlargements noted H/L: relative bradycardia (HR 90 bpm) with no murmurs; eupnic but with congested referred upper airway noise ABD: Non painful, no masses palpated U/G: male MSI/CNS: ambulatory paraparesis with mild muscle wasting of hind limbs; decreased withdrawal on hindlimbs focal lordosis and muscle wasting of lumbar spine, no obvious vertebral instability or crepitus thickening of R distal femur with discomfort Full body radiographs-severe lordosis of lumbar spine; sacral spine appears to be positioned dorsally over pelvis; all bones appear washed out with thin cortices; incomplete pathologic fracture of R distal femur Rectal: not performed Assessment URI with conjunctivitis Spinal abnormality Pathologic fracture Decreased calcification of bones Plan Gave additional 0.06 ml simbadol SQ Rec’d EHR
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