TONY – 11657
Gone - 11-4-2017 Manhattan
GONE 11/4/17 ***Needs to vet to a Vet by 6PM Today*** Orange boy Tony was hit by a car and needs your help @MACC
Manhattan Center
11657 Tony 3Y Male Orange Tabby DSH
Stray:11/3/2017
Medical
Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
4-Nov-2017
DVM Intake
Progress Exam
Vet Notes: 10:09 AM
DVM Intake Exam – 0577
Estimated age:mature adult, 3-5 yrs
Microchip noted on Intake? scan negative
History : stray, severe traumatic injury poss. HBC
Subjective: Quiet, mildly depressed
Observed Behavior – becomes stressed, limited handling, mildly fractious behav., attempts to flee – poss. feral
Evidence of Cruelty seen – no
Evidence of Trauma seen – yes, head/mandible trauma +/- other
Objective *limited PE due to mildly fractious/skittish behav, becomes distressed and also has trouble breathing
– HR and RR are elevated, likely due to stress/injury/pain
BCS 5/9
EENT: OS non-responsive dry cornea, mod swelling behind globe, palp. reflex intact; OD appears wnl; AU nsf; mild bloody discharge from nose and in mouth
Oral Exam: limited due to injury/pain when opening mouth; malocclusion of jaw and feels like dislocation/fracture of left side of mandible (and poss. right) also with dislocation/fx of mandibular symphysis
PLN: No enlargements noted
H/L: tachycardic, NMA; MM pale pink, tachy, CRT ~ 2-3; Lungs incr. resp. sounds due to trauma/nasal discharge, no obvious abnormalities ausculted
ABD: Non painful, no masses palpated
U/G: intact male
MSI: Ambulatory x 4, skittish behavior, tries to flee, difficult to assess gait but appears to have mild hindlimb ataxia; skin free of parasites, no masses noted, mildly dirty hair coat
CNS: mildly depressed in kennel, becomes alert/skittish when handled and resist PE, left eye appears non-visual at this time, OD wnl; poss. mild ataxia present; nosf
Rectal: normal externally
Assessment: traumatic head injury r/o HBC vs other; skittish, poss. feral cat
– fractured jaw and mandibular symphysis fracture, head trauma mainly to left side of head, non-responsive left eye, swollen globe
– left hip luxation
Plan:- sedated rads
– IV fluids 12 mls/hr
– cont. pain meds – Simbadol 0.65 ml SQ SID x 3d
– lubricate left eye
– recheck condition at end of day/seek placement or rec’ EHR
Prognosis: open/guarded – needs hospitalization/tx of injuries
– rec’ monitor in medical and seek NH placement
SURGERY: Waived due to injury
VET-P 99
4-Nov-2017
Progress Exam
L V T Notes: 2:13 AM
Cat is sternal and alert after 2 hours post pain meds. Significant swelling to left side face at zygomatic arch, globe seems sunken but responds to light normally. Breathing still affected by facial damage but respiratory effort is decreased. Right side mandible notably caved in and shifted towards left side of face. Cat is still unwilling to move around kennel. Accepting water but hesitant to eat soft food.
LVT-E 99
3-Nov-2017
LVT Intake
L V T Notes: 9:45 PM
[LVT Intake Exam]
Microchip Scan: negative
Evidence of Cruelty: no
Observed Behavior: painful but allows handling
Sex: intact male
Estimated Age: 2-4y
Subjective: reported hit by car, cat has damage to face from hit with car/pavement (broken incisors, “road rash” on tongue, possibly broken mandible, swelling and disjointed appearance on right side, epistaxis), tachypneic and tachycardic (possibly pain, lungs sound clear, no bruising on abdomen and mm pink), unwilling/able to stand (assess limbs once pain meds kick in)
Eyes: clear, slight bloody orbital mm OS
Ears: clean
Oral Exam: young, minimal staining, incisors damaged
Heart: WNL, tachy from pain
Lungs: WNL tachy from pain, calms on flow by O2
Abdomen: WNL
Musculoskeletal: cannot assess but no obvious fractures, BCS 5/9
Mentation: BARH, responding to handler
Preliminary Assessment: HBC and needs further assessment once pain meds kick in
Plan: oncall DVM rec 1.5ml onsior SQ, 0.67ml simbadol SQ, 0.1ml butorphanol IV and reassess in 1 hour
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