SPECIAL – A1112786
Safe - 5-29-2017 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
***SAFE 05/29/17***17 YEARS OLD AND OWNER DUMPS FOR PET HEALTH!! Meet Special: Special is a geriatric cat that is known to be a little shy with strangers, but very friendly with people that she knows. She loves attention and especially loves getting her head scratched. She is a much older cat and will require some extra care. She may have hyperthyroidism and other underlying health concerns, but will need further diagnostics. Can you help Special get the care and love that she deserves?
My name is SPECIAL. My Animal ID # is A1112786. – P
I am a female white and calico domestic sh mix. The shelter thinks I am about 17 YEARS old.
I came in the shelter as a OWNER SUR on 05/22/2017 from NY 10452, owner surrender reason stated was PET HEALTH.
05/24/2017 AT RISK MEMO
Special A1112786 is at risk due to medical condition. Please see exam notes below.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
05/24/2017 Exam Type OBSERVATION – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 6.8 LBS.
CHEMISTRY/URINE Results FROM 5/23/17 IDEXX Parameters Results Reference Ranges GLU 122 mg/dl 72-175 BUN 42 mg/dl 16-37mg/dL CREAT 1.6 mg/dl 0.9-2.5mg/dL BUN/Creat 26.3 PHOS 5.9 mg/dl 2.9-6.3mg/dL CA 10.5 mg/dl 8.2-11.2mg/dL TP 7.7 g/dl 6.3-8.8g/dL ALB 3.4 g/dl 2.6-3.9g/dL GLOB 4.3 g/dl 3.0-5.9g/dL ALB/Glob 0.8 0.5-1.2 ALT 143 U/L 27-158U/L ALKP 126 U/L 12-59U/L GGT 1 U/L 0-6U/L TBILI 0.2 mg/dl 0.3mg/Dl CHOL 258 mg/dl 91-305mg/dL Na mmol/L 144-160 K mmol/L 3.5-5.8 Na/K 37 29-42 Cl mmol/L 109-122 Osm calc mmol/kg UA Color Yellow Clarity Clear SG 1.016 pH 7.5 Protein Negative Glucose Negative Ketones Negative Blood/Hgb 3+ Bilirubin Negative
05/22/2017 PET PROFILE MEMO
05/22/17 09:10 Special has never been around other cats or out of the home she’s known for years but she is friendly with people she knows and loves attention. She may run away from strangers and be a bit shy but she loves to have her head scratched, its her favorite thing.
No Web Memo
05/23/2017 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
ACTIVITY LEVEL: Laid back VOCAL: Quiet CHARACTER TYPE: Calm, Sweet KNOWN HISTORY: Former owner stated that Special has never been around other cats or out of the home she’s known for years but she is friendly with people she knows and loves attention. She may run away from strangers and be a bit shy but she loves to have her head scratched, it’s her favorite thing. MEDICAL BEHAVIOR: 5/22/17- Observed Behavior – timid/shy but allows handling EVALUATION: Cage Condition: No change Reaction to assessor: Special looks neutral, lying down on her cage bedding when approached. Reaction to cage door opening: Special remains immobile in place, alert with soft eyes. Reaction to touch: Special slowly leans into the assessor’s hand and began to purr. Reaction to being picked up: Special allows the pickup and remains calm. BEHAVIOR SUMMARY: Average Special interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
05/22/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: reported to be 17 years Microchip noted on Intake? History : owner surrender due to decreased appetite and vomiting after eating; also having “episodes of jumping” Subjective: QAR, mild dehydration Observed Behavior – timid/shy but allows handling; empty food bowl in carrier Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective BCS 3.5 EENT: OU-pupils dilated; appears visual; iris atrophy no nasal discharge AU-waxy brown discharge; mild self-induced excoriation at base of ear AS poss thyroid slip Oral Exam: mm lgt pk, mod tartar/staining PLN: No enlargements noted H/L: grade III heart murmur with intermittent dropped beat and/or arrhythmia ABD: Non painful, no masses palpated U/G: female MSI: sl unthrifty hair coat with dandruff CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment 1. heart murmur with arrhythmia-r/o primary heart dz vs hyperthyroidism vs other 2. muscle loss 3. h/o appetite loss/vomiting-r/o metabolic vs primary GI (IBD vs lymphoma) vs other 4. dental disease Plan Rec’d CBC/chem/T4 Rec’d full body rads Rec’d full cardiac work up including ECG, BP and echo cerenia .4 ml SID x 3 days monitor app/vomiting flush ears Prognosis: fair to guarded SURGERY: permanent waiver d/t age
05/24/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
Reviewed BW from IDEXX and xrays Great appetite and able to handle. BCS 3/9 prolonged skin tent EENT: mild mucoid dc, mild sunken eyes OU, iris atrophy OU, no nasal discharge AU-waxy brown discharge; Oral Exam: mm lgt pk and moist. , mod tartar with mild gingival recession PLN: No enlargements noted H/L: tachycardia w/possible Grade II-III/VI heart murmur. lungs clear and eupneic ABD: Non painful, no masses palpated U/: female MSI: sl unthrifty hair coat with dandruff CNS: mentation appropriate – no signs of neurologic abnormalities Rectal:not performed Assessment 1. Hyperthyroid 2. Early renal disease 3. Hypernatremia 4. Xray: enlarged stomach filled w/ingesta, abnormal edges of the ventral surface of stomach/liver, gas in SI, and formed fecal material in the colon. 5. heart murmur with arrhythmia-r/o primary heart dz vs hyperthyroidism vs other 6. muscle loss 7. h/o appetite loss/vomiting-r/o metabolic vs primary GI (IBD vs lymphoma) vs other 8. dental disease Plan Methimazole 2.5 mg PO BID long term –first dose given Recheck T4 in 3-4 weeks Switch to Hills K/D – for early kidney disease- sign placed Recheck appetite after starting methimazole Continue fluids for a few more days –recheck hydration Rec echocardiogram and cardiology consultation
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