STEW – 12841
Safe - 11-24-2017 Brooklyn Rescue: The Odd Cat Sanctuary Please honor your pledges: http://www.theoddcatsanctuary.com/donate.html
*** SAFE 11/24/17 *** Super sweet 5 year old found in the street is hungry for healing and a new home!! STEW has some medical issues that need diagnosis and treatment. PLEASE BE HIS SAVING GRACE! Offer to foster or adopt him now!
Brooklyn Center
Hello, my name is Stew. My animal id is #12841. I am a desexed male black cat at the Brooklyn Animal Care Center. The shelter thinks I am about 5 years old. – P
I came into the shelter as a aco impound on 16-Nov-2017.
Stew is at risk for a serious medical condition. Stew has liver disease and should not be managed Treatment depends on the underlying cause but may include surgery, nutritional support, antibiotics and supportive care. Stew has been friendly and allowed all handling in the care center.
My medical notes are…
Weight: 5.32 lbs
[DVM Intake] DVM Intake Exam: 1431 Estimated age: 5 years Microchip noted on Intake? no History : stray, found not moving in street Subjective: QAR, 10-15% dehydrated Observed Behavior -Very friendly, allows exam/treatment with minimal restraint. Evidence of Cruelty seen -no Evidence of Trauma seen -no Objective P =120 R =wnl BCS: 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: negative oral exam PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, kidneys feel small U/G: male castrated MSI: Ambulatory x 4 but staggering/ataxic, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation: alert, very interested in food/eating well in exam room. But severely ataxic, with severe cervical ventroflexion. No nystagmus, no obvious intention tremors noted. Assessment: Thin to cachectic dehydrated: rule out metabolic vs neoplasia vs other. Ataxia/cervical ventroflexion: rule out metabolic vs infectious vs inflammatory vs neoplasia vs Cerebellar hypoplasia vs other Prognosis: fair depending on response to tx and bloodwork results. Plan: CBC/Chem with lytes/TT4 100 ml LRS with 0.1 ml multi-B-vits SQ feed ad lib pend blood results. consider survey rads if not improving or indicated via bloodwork. continue to monitor at ACC SURGERY: already altered
Hx: Intaked on 11/16, severely dehydrated, ataxic, slighter icteric; ate very well on presentation S/O: BAR. ~5-8% dehydration. Attention seeking, allows all handling, head butting, purring; diarrhea in cage, ate small amount of fresh cat food EENT: Eyes clear, sclera slightly icteric, no ocular or nasal discharge, tacky pale pink mm, mild dental tartar/staining, healed/scarred down aural hematoma AS HL: Normal thoracic auscultation ABD: Soft, non tender INTEG: Unkempt MS/Neuro: Ambulatory x 4 with severe ataxia, head pressing/cervical ventroflexion, muscle wasted UG: Neutered A: Middle aged cat: -Blood work shows liver disease (hepatocyte damage, cholestasis) – R/O chronic active cholangiohepatis vs hepatic lipidosis vs infectious vs toxin vs other, -Neurologic – R/O hepatic encephalopathy vs primary neuropathy vs other -Dehydrated -Diarrhea P: Rec metronidazole 0.25ml PO q12 x 10 days, lactulose 0.5ml PO q12 x 5 days, pradofloxacin 0.7ml PO q24 x 7 days. Place IVC and start LRS 9ml/hr. Continue to monitor while at BACC. Fair prognosis
CBC shows mild non-regenerative anemia, mild neutrophilia and mild eosinopenia Chemistry shows marked increase in ALT, moderate increase in ALP and moderate increase in T-bili. High normal GGT. Mild decreases in chloride and creatinine with normal BUN A: R/O Chronic active cholangiohepatitis P: See DVM notes
Hx: Intaked on 11/16, severely dehydrated, ataxic, slighter icteric, head pressing, eating well; Blood work shows liver disease S/O: BAR. ~5-8% dehydration. Attention seeking, allows all handling, purring; Immediately started eating when offered fresh wet food but didn’t eat much, small amount of normal stool, large amount of urine EENT: Eyes clear, sclera slightly icteric, no ocular or nasal discharge, tacky pink mm, mild dental tartar/staining, healed/scarred down aural hematoma AS HL: Normal thoracic auscultation, purring continuously ABD: Soft, non tender INTEG: Unkempt MS/Neuro: Ambulatory x 4 with moderate ataxia, head pressing/cervical ventroflexion present (less pronouced than previous exam), muscle wasted UG: Neutered A: Middle aged cat: -Blood work shows liver disease (hepatocyte damage, cholestasis) – R/O chronic active cholangiohepatis vs hepatic lipidosis vs infectious vs toxin vs other, -Neurologic – R/O hepatic encephalopathy vs primary neuropathy vs other – improving -Dehydrated -Diarrhea – improved P: Continue with metronidazole, pradofloxacin and lactulose. Adding cerenia 0.3ml SQ q24 x 2 days. LRS 100ml SQ q24 x 3 days. Continue to monitor while at BACC. Fair prognosis
Progress exam-liver disease, neurologic History: Intake on 11/16: severely dehydrated, ataxic, slightly icteric, head pressing, eating well 11/17: Started on metronidazole, pradofloxacin, and lactulose CBC shows mild non-regenerative anemia, mild neutrophilia and mild eosinopenia Chemistry shows marked increase in ALT, moderate increase in ALP and moderate increase in T-bili. High normal GGT. Mild decreases in chloride and creatinine with normal BUN 11/18: started on LRS and cerenia S/O: BAR. 5% dehydration. Interested in food but not eager to eat. No bm or u in litter box. Is ataxic, weak, with possible intention tremors when trying to eat. No c/s/v/d. Slight icterus of soft palate but other icterus has resolved. Based on previous SOAPs seems to be improving. EENT: Eyes clear, no icterus in sclera, no ocular or nasal discharge, clean ears, scarred pinna AS likely from previous hematoma Oral: icteric palate, mild dental tartar/staining, no oral ulcers HL: Purring, unable to fully assess, eupneic ABD: SNP, NMP INTEG: GHC, no ectoparasites, no masses MS/Neuro: Ambulatory x 4 with moderate ataxia and possible intention tremors, dropped hocks, cervical ventroflexion, severe cachexia UG: MN A: -Blood work shows liver disease (hepatocyte damage, cholestasis) – R/O chronic active cholangiohepatis vs hepatic lipidosis vs infectious vs toxin vs other, -Neurologic – R/O hepatic encephalopathy vs CH vs other primary neuropathy – improving -Dehydrated -Diarrhea – improved P: CTM daily Rec recheck bloodwork 11/23 Continue metronidazole until 11/23 Continue pradofloxacin until 11/23 Continue lactulose until 11/21 Continue cerenia until 11/19 Continue LRS until 11/20 Add mirtazapine 3.75mg PO EOD until 11/23 Fair prognosis
Details on my behavior are…
Behavior Condition: 1. Green
KNOWN HISTORY:: Stew was brought in as a stray, so there is no information on their behavior history or tendencies in a home environment. His finder was able to wrap him in a blanket and place him into a carrier.
MEDICAL BEHAVIOR:: Observed Behavior -Very friendly, allows exam/treatment with minimal restraint.
Cage Condition:: Cage is neat
Reaction to assessor:: Stew was sitting upright, calm and relaxed.
Reaction when softly spoken to:: Stew looks at the assessor with almond-shaped eyes.
Reaction to cage door opening:: Stew remains motionless.
Reaction to touch:: Stew accepts petting and leans in for petting, purring. He slowly approaches the front and head-butts lightly for more attention.
Reaction to being picked up:: Stew remains calm and continues to purr when held.
ACTIVITY LEVEL:: Mellow
VOCAL:: Quiet
CHARACTER TYPE: : Calm,Sweet,Affectionate
POTENTIAL CHALLENGES:: None
BEHAVIOR DETERMINATION: : Average
Behavior Asilomar: H – Healthy
BEHAVIOR SUMMARY:: Stew 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.
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