SODAPOP – A1065211
Safe - 2-21-2016 Manhattan Rescue: Staten Island Hope Please honor your pledges: http://www.statenislandhoperescue.org/
Sodapop came to us as a stray on 2/16 with bites from an unknown origin. Due to these bites, he will need to be kept under a 6 month observation period. Sodapop will also most likely need to have his right hind leg amputated because of the severity of the injuries sustained. Please help this sweet boy today!
SODAPOP – A1065211
NEUTERED MALE, BLACK / WHITE, DOMESTIC SH MIX,1 yr
STRAY – STRAY WAIT, HOLD FOR DOH-V Reason STRAY
Intake condition INJ MINOR Intake Date 02/16/2016, From NY 10465, DueOut Date 02/19/2016,
Medical Behavior Evaluation GREEN
Medical Summary scan negative severe wound on right hind foot has chemical smell on coat underweight ear mite negative flea comb negative- treated with activyl CRYPTORCHID relaxed during exam went to medical
severe wound on right hind foot
has chemical smell on coat
ear mite negative
flea comb negative- treated with activyl
relaxed during exam
went to medical
Hx: Found near highway
S: Allowed initial exam, but after 5 minutes, pt became agitated and spent the rest of the exam trying to run off the table. No signs of aggression.
O: BAR, MMs pale and tacky, estimated 5% dehydrated, BCS 2/9
EENT: Normal fundic exam OU, no discharge OU. Mild debris AU. Abscess with draining tract at lateroventral aspect of OS – hemorrhagic purulent discharge.
H/L: NSR, NMA. Eupnic, quiet lung sounds.
Abd: Soft, full abd. No pain on palpation, no masses palpated
M/S/I: Partially weight-bearing on right hind leg.
Left front foot: small superficial wound on dorsal surface of the foot
Right front foot: partial-thickness laceration at mid-antebrachium. Carpal wound with mild swelling.
Left hind leg: NSF
Right hind leg: Severely swollen distal to hock, skin splitting in some regions, deep fistulas or lacerations in dorsal and plantar surfaces of foot. Green debris visible between paw pads, flexor tendons visible at plantar aspect of foot. Soft edema surrounding hock. There may be crepitus in the foot but I cannot evaluate due to pt discomfort.
Fur coat is very wet (it is raining outside) and dirty.
UG: Male intact, cryptorchid.
1. Severe wound on RH foot – likely bite wound, also possible crushing injury from motor vehicle
2. Moderately severe wounds on LF and RF feet
4. Abscess on L side of face
Short-term prognosis: Fair
1. FeLV/FIV test (neg)
2. LRS 250 ml SQ q24 hours x3 days
3. Start Baytril 22.7 mg/ml inj: 0.65ml SID x10 days
4. Start Amoxi-Clav 0.9 ml PO BID x14 days
5. Buprenorphine (0.5 mg/ml) 0.18 ml SQ q12 x5 days
6. DOH report due to possible bite status
7. Once pt has received abx and pain meds (tomorrow), consider bandaging RH leg and flushing L facial abscess, rads of RH foot
S/O: sedated exam today for wound treatment and x-rays. right front leg severely swollen – no broken bones identified on x-ray, suspect cellulitis/soft tissue swelling due to infected wounds (wounds on leg are healing); right hind legs has severe injury to the distal end (including paw and metatarsals) with tendon exposure and purulent exudate. clipped and cleaned two puncture wounds under left eye – appears like a bite wound, healing normally with no abscess formation. two scrotal testes palpated (not cryptorchid).
A: severe wounds to right hind and front legs
P: x-rays taken of right front and hind limbs – no fractures identified
clipped and cleaned wounds on right hind leg and face
placed bandage on right hind limb with SSD cream and telfa padding to keep clean
recommend new hope placement once off DOH hold (or sooner if possible)
cat will likely need right hind limb amputation due to severity of wound
continue baytril and amoxi/clav; switch bup to bup SR (due to availability) — signed up for bup SR q 3 days
placed shredded paper only sign
S/O: BAR, very friendly and affectionate, bandage on right hind leg starting to fall off – removed on exam and cleaned wound with dilute chlorohexidine solution. placed e-collar. appears comfortable.
A: severe (suspect) bite wounds on right hind leg
swelling of soft tissue on right front leg
P: continue amoxi/clav and baytril, already had bup SR injection on 2/17
Medical handling behavior: Green (Allows all handling)
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View all entries in: Safe Cats 2016-02