TAOS – A1104978
Safe - 3-3-2017 Manhattan
SAFE 3/3/17 Taos has a fractured hard palate and possible head trauma, please help this sweet young kitty today! @MACC
TAOS – A1104978 11M BLACK DSH F
STRAY INTAKE: 2/28/2017
Initial Exam (2/28/17)
poss head trauma
partial bulging of left eye
broken hard palate left side
spoke to Dr and explained
Dr rec 0.17cc Bupren SQ, 75cc SQF
Hx: Stray, finder found cat with this appearance. Hard palate fracture.
S: Mews, allows handling. Resists palpation of nose, mouth or left side of face.
O: BAR-H, BCS 5/9, MMs pink and moist
EENT: OS severe exophthalmos, hemorrhagic discharge, cornea slightly desiccated, eyelids cannot fully close. OD mild mucoid-hemorrhagic discharge. Hemorrhagic nasal discharge. Difficult to assess mouth due to pt pain. Clean adult teeth.
PLNs: Not enlarged.
H/L: NSR, NMA. Eupnic, quiet lung sounds.
Abd: Soft, no pain on palpation, no masses palpated
M/S/I: Amb x4. No skin lesions noted.
A: Exophthalmos, hemorrhagic ocular and nasal discharge, facial pain, reported hard palate fracture (not visualized today due to pt pain) – R/O head trauma (+/- some degree of URI)
Short-term prognosis: Fair
SURGERY: Temporary waiver for facial trauma.
1. Swabbed for URI pathogens
2. Continue buprenorphine 0.2 ml OTM q12
3. Erythromycin OU BID x10 days – to lubricate eyes and prevent bacterial infection
4. LRS 150 ml SQ SID x4 days
5. Monitor appetite
6. Nebulize with warmed saline only BID x5 days
Taos has not had a behavior evaluation yet but she is a medical green (allows all handling)
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View all entries in: Safe Cats 2017-03