SWIFT – A1087866
Safe - 9-2-2016 Manhattan
SAFE 9/2/16 Meet Swift: We believe this tiny guy was hit by a car. Swift most likely has a fractured pelvis and possible nerve damage down his right leg. He should have an orthopedic consult and will likely require surgery. Swift needs to leave the shelter by 6pm tomorrow, 9/1. Please help a kitten in need today @MACC!
SWIFT – A1087866
MALE, GRAY TABBY, DOMESTIC SH,3 mos
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition INJ MINOR Intake Date 08/29/2016, From NY 11209, DueOut Date 09/01/2016,
Medical Behavior Evaluation ORANGE
Medical Summary BAR scan negative male kitten good appetite fleas dirt, applieed activyl dragging rt hind limb very nervous, hissing, swating NOSF
Initial Exam (8/29/16)
fleas dirt, applied activyl
dragging rt hind limb
very nervous, hissing, swatting
- PC) Dagging RRL – Intake yesterday. In medical.
S/O) Limited exam due to behavior – hissing from back of cage and needed to wrap in towel. QAR. Mild dehydration. MM pk.
EENT: Eyes clr, pupils symmetric. NND. Oral – partial exam NSF.
MSI: Litter and debris stuck to RRL. Drags RRL completely from hock down. No fx palpated in leg but laxity in hip. Moves leg slightly with toe pinch.
H/L good, purring.
Neuro: no deficits noted. Superficial pain RRL.
Eating well. Normal BM. Soft stool.
- A) Lame RRL – suspect pelvic fx vs other fx vs neurologic (does not appear to be)
- P) SQF 75 cc
Buprenex 0.5 mg/ml 0.07 cc IM. Repeat BID x 3 days.
Consider hip x-rays under sedation- set up for tomorrow.
Kitten would need rescue and significant medical care – may be difficult given behavior.
Stable to stay in shelter for stray hold.
PROGNOSIS: Poor – guarded.
If rescue, given temporary waiver for neuter due to injury.
S: Growls when the cage door is opened, holds body very still.
Sedated with Telazol 0.04 ml IM for exam and rads.
Left pelvis feels collapsed, smaller than R pelvis. No crepitus is palpated in pelvis or lower legs.
Abdomen is soft, full of ingesta
Right lateral pelvis, VD pelvis frog-legged, VD pelvis extended leg
Litter visible in fur of hind legs
Gas and fecal material in SI and colon
Right acetabular fracture (non-displaced), right SI luxation, right ilial body fracture (displaced)
Left acetabular fracture (heavily displaced – pubis and femur are located medial to ilium, with significant narrowing of the pelvic canal)
Bilaterally fractured acetabular fractures with significant narrowing of the pelvic canal and likely nerve damage to the right hind leg
Prognosis: fair with surgery, poor otherwise
- Continue buprenorphine
- Add MiraLax 1/4 tsp dissolved in water or tuna juice, by mouth or drizzled on food BID x10 days, monitor defecation
- Recommend orthopedic consult ASAP – pt should have surgical repair and this will be an extensive surgery given the severity of the issues
- Deadline – animal must leave the building by 6pm on 9/1
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View all entries in: Safe Cats 2016-09