SNOWFLAKE – A1111591
Safe - 5-10-2017 Brooklyn
SAFE 5/10/17 **BELOVED VOLUNTEER FAVE! Snowflake NEEDS FOLLOW UP VET CARE!
Brooklyn Center
Snowflake – A1111591 – 1 ½ yr. female brown tabby/white cat, stray:
MEDICAL:
05/10/17
DVM Intake Exam
Estimated age: 1.5 yrs.
Microchip noted on Intake? No.
History : Stray cat, noted to be dragging hind limbs.
Subjective:
Observed Behavior – Very fearful, tense, looking for a way to run away. Wrapped in towel for exam, allowed all handling.
Evidence of Cruelty seen – No.
Evidence of Trauma seen – Yes.
Objective: BAR. mm=lt pink, sl. tacky, CRT<2 s. HR=220, RR=28. BCS=4/9.
ORAL: All adult teeth present, minimal staining.
EENT: No oculonasal discharge, no sneezing. AS – pinna scarred down. No ear discharge.
PLN: No enlargements noted.
H/L: Lungs clear, no murmurs/arrhythmias, no dyspnea.
ABD: Non painful, no masses/organomegaly palpated. Clear urine on towel.
U/G: Female – no obvious spay scar but unable to shave due to injury and pain.
MS: Amb x 4 but difficulty using hind legs. Unable to perform full gait analysis due to cat attemtping to flee. No palpable abnormalities in any limb.
INTEG: Mild bruising on caudoventral abdomen. Full, dirty haircoat. Mild dec. skin turgor.
CNS: Mentation appropriate – no signs of obvious neurologic abnormalities. Pos. withdrawal and nocicpetion in both hind legs.
A: Suspect hind limb +/- pelvic injury. DDx: Fracture, soft tissue injury. Est 1.5 yrs. Mild dehydratio0n.
P: Buprenorphine 0.3 mg/ml. 0.4 ml SQ administered.
House in medical.
Give 100 ml LRS SQ q 24 hours x 3 days if cat will allow.
Continue Buprenorphine 0.3 mg/ml 0.25 ml SQ BID x 5 days.
Scheduled for sedation and xrays.
Fair to good prognosis depending on radiograph results.
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View all entries in: Safe Cats 2017-05