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
Manhattan Center
TAOS – A1104978 11M BLACK DSH F
STRAY INTAKE: 2/28/2017
Initial Exam (2/28/17)
QAR
scan negative
female intact
allows handling
mild dehydration
poss head trauma
bloody eyes
partial bulging of left eye
broken hard palate left side
MC placed
CT negative
spoke to Dr and explained
Dr rec 0.17cc Bupren SQ, 75cc SQF
NOSF
Re-Exam (3/01/17)
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.
UG: Female
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.
P:
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
Behavior
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