TROY – 20882
Safe - 2-21-2018 Brooklyn
***SAFE 02/21/18***BEGINNER TROY NEEDS RESCUE ANGEL!!! TROY is a one year old terrific tabby who needs follow up vet care ASAP! Please help this sweet girl today!! **SHE’S ANEMIC AND POSSIBLE TRANSFUSION NEEDED** She also has a paw injury. a VOLUNTEER NOTED, “I just met this sweet girl in Medical and she loved the attention although she isn’t feeling her best. Troy would benefit from New Hope Placement as soon as possible.” DON’T FORGET WHEN YOU FOSTER, ALL REASONABLE MEDICAL EXPENSES ARE COVERED. SO GIVE THIS SWEETIE A CHANCE. EMAIL OUR HELP DESK FOR ASSISTANCE. MUST BE RESERVED BY NOON TOMORROW.
Brooklyn Center
Hello, my name is Troy. My animal id is #20882. I am a female gray tabby cat at the Brooklyn Animal Care Center. The shelter thinks I am about 1 years old. – P
I came into the shelter as a aco impound on 16-Feb-2018.
Troy was placed at risk due to his medical condition; he is Anemic and needs placement outside the shelter as soon as possible. Troy is suitable to go to a beginner owner home.
My medical notes are…
Weight: 4.24 lbs
16/02/2018
[Spay/Neuter Waiver – Medical Condition] Your newly adopted is currently temporarily waived from the spay/neuter requirements of the City of NY by the staff veterinarians due to conjunctivitis & being underweight. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.
16/02/2018
[DVM Intake] DVM Intake Exam Estimated age: 1 1/2-2y Microchip noted on Intake?n Microchip Number (If Applicable):n History : stray Subjective: qar, lameness rf Observed Behavior – very quiet painful and swollen rf paw Evidence of Cruelty seen -n Evidence of Trauma seen -y – bite vs other Objective T = 104.5 P = 250 R = wnl BCS 3/9 EENT: conjunctivitis and purulent d/c os only, ears clean, no nasal or ocular discharge noted Oral Exam: good condition, based on lack of significant wear and tarter – 1 1/2-2 yr PLN: No enlargements noted H/L: tachycardic and occ’l gallop CRT < 2, Lungs clear, eupnic, mild dehydration ABD: Non painful, possible cranial organomegally vs recent meal left cranial, soft not firm U/G: fi (?) MSI: Ambulatory x 3, lame rf and swelling of paw w/ possible abscess on paw pad skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal:ne Assessment: 18-24 m fi abscess paw left fore vs other trauma conjunctivitis os only – viral vs other underweight <5% dehydrated Prognosis: excellent Plan: cbc/chem wb rads lat/vd 100 cc lrs sq convenia 0.2 cc sq simbodol 0.55 cc sq terramycin os bid SURGERY: Okay for surgery Temporary waiver due to Permanent waiver due to
16/02/2018
[DVM Intake] DVM Intake Exam Estimated age: 18-24m Microchip noted on Intake?y Microchip Number (If Applicable):y History : stray Subjective:qar Observed Behavior -qar, lame rf Evidence of Cruelty seen -n Evidence of Trauma seen -y Objective T =104.5 P = 250 R = wnl BCS 3/9 EENT: os purulent d/c and conjunctivitis, ears clean, no nasal or ocular discharge noted Oral Exam: based on condition 18-24m PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic, dehydrated ABD: Non painful, possible cranial organomegally U/G: fi (?) MSI: Ambulatory x 3, skin free of parasites, no masses noted, healthy hair coat, possible abscess pad, swelling left hindfoot CNS: Mentation appropriate – no signs of neurologic abnormalities: wnl Rectal:ne Assessment: conjunctivitis and d/c os – r/o viral lameness/swelling – r/o abscess vs other traum mild dehydration cranial organomegally – mass vs full stomach vs other Prognosis: excellent Plan: 100 cc lrs sq 0.2 convenia sq 0.25 simbodol sq cbc/chem – severe, non-regen anemia (15.6%) and leukocytosis w/ neutrophilia and suspected bands wb rads lat/vd – +/- fx left hind mt 3, proximal and soft tissue swelling, full stomach terramycin bid os sedate to examine wounds – healing paw pad abrasion digit 2 rf – very small amount of purulent material, removed debris from between toes, no other bite wounds noted tomorrow recheck temp/pc/ts – +/- doxy vs pred trial SURGERY: Temporary waiver due to
16/02/2018
severe, non-regenerative anemia -15.6% leukocytosis (22.4) – neutrophilia (16.8) w/ suspected bands chem – wnl (gluc 165) felv/fiv both negative
16/02/2018
X-RAY EVAL – 1) RF – soft tissue swelling, appears to be radiopaque debris caudal paw 2) LH – +/- proximal, non-displaced fx mt 3 3) food filled stomach w/ granular debris and stool
17/02/2018
ACR: Recheck temp, PCV/TS, +/- add oral meds S/O: Cat is QAR, seems more hydrated today. BCS 3/9. EENT – blepharospasm and epiphora OU; crusting of nasal planum. Healthy adult dentition; multiple oral ulcerations affecting mainly hard palate. Heart/lungs – slight gallop rhythm, otherwise wnl. Abdomen soft, non-painful. Amb x 4, but walks very gingerly. Skin/coat – appears unkempt. Seems interested in food, but only ate small amount of a/d when offered T – 103F P – 170 R – 40 PCV/TS 15/6.4 A: Non-regenerative anemia DDx: Infectious, Immune-mediated, Open P: Starting on Doxycycline 50mg/mL – 0.4mLs PO q24h x 4wks. Gave first dose around noon on 2/17/18. Continue Simbadol for pain. Recommend rescue placement and transfer to outside vet ASAP due to anemia and need for possible transfusion. PROGNOSIS: Poor-Fair
18/02/2018
Progress exam History : stray intake 2/16. Gave SQ LRS, convenia, terramycin, and simbadol. cbc/chem – severe, non-regen anemia (15.6%) and leukocytosis w/ neutrophilia and suspected bands wb rads lat/vd – +/- fx left hind mt 3, proximal and soft tissue swelling, full stomach 2/17-started doxycycline Subjective: QAR, ~6-7% dehydrated. Eating well. Feet are painful. Normal bm and u in litter box. Mildly ataxic. Objective T =102.3 P = wnl R = wnl BCS 3/9 EENT: mild serous d/c ou, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition, mild staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs have mild increase in BV sounds ABD: SNP, NMP U/G: FI, no MGTs, no vulvar d/c MSI: Ambulatory x 3, skin free of parasites, no masses noted, healthy hair coat, swelling of RFL, LFL, and LHL-painful on palpation CNS: Mentation appropriate – no signs of neurologic abnormalities: wnl Assessment: Conjunctivitis and d/c os – r/o viral Lameness/swelling RFL, LFL, LHL- r/o abscess vs other trauma Dehydration Harsh BV sounds Oral ulcers Prognosis: Good to fair Plan: Continue doxycycline until 3/17 Start 20ml/kg SQ LRS until 2/20 (first dose given) Continue simbadol until 2/22 Soak feet in dilute chlorhex SID x3d until 2/20 (first treatment done) Continue terramycin until 2/22
19/02/2018
Progress exam History : stray intake 2/16. Gave SQ LRS, convenia, terramycin, and simbadol. cbc/chem – severe, non-regen anemia (15.6%) and leukocytosis w/ neutrophilia and suspected bands wb rads lat/vd – +/- fx left hind mt 3, proximal and soft tissue swelling, full stomach 2/17-started doxycycline 2/18-started SQ LRS, foot soaks Subjective: QAR, ~5-6% dehydrated. Eating 1/3-social eater. Feet are painful and walks gingerly on them. Normal bm and u in litter box. No csvd. Objective P = wnl R = wnl BCS 3/9 EENT: no ocular d/c, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition, mild staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs have mild increase in BV sounds ABD: SNP, NMP U/G: FI, no MGTs, no vulvar d/c MSI: Ambulatory x 4 but walks very gingerly and high steps, skin free of parasites, no masses noted, healthy hair coat, swelling of RF paw, LF paw, and LH paw-painful on palpation CNS: Mentation appropriate – no signs of neurologic abnormalities: wnl Assessment: Conjunctivitis and d/c os – r/o viral Lameness/swelling RF paw, LF paw, LH paw- r/o immune mediated vs plasma cell pododermatitis vs abscess vs other trauma Dehydration Harsh BV sounds Oral ulcers-not appreciated today Prognosis: Good to fair Plan: Continue doxycycline until 3/17 Continue 20ml/kg SQ LRS SID until 2/20 Continue simbadol until 2/22 Soak feet in dilute chlorhex SID until 2/20 Continue terramycin until 2/22 Start cerenia 1mg/kg SQ SID x2d until 2/20 Give one dose of mirtazapine 3.75mg PO Rec CXR when stable enough to sedate Rec IM consult +/- blood transfusion +/- steroids
20/02/2018
Progress exam History : stray intake 2/16. Gave SQ LRS, convenia, terramycin, and simbadol. cbc/chem – severe, non-regen anemia (15.6%) and leukocytosis w/ neutrophilia and suspected bands wb rads lat/vd – +/- fx left hind mt 3, proximal and soft tissue swelling, full stomach 2/17-started doxycycline 2/18-started SQ LRS, foot soaks 2/19-started cerenia, gave one dose of mirtazapine Subjective: BAR, ~5-6% dehydrated. No csv but had one pile of D in litter box. Normal U in box. Eating voraciously-wet and dry. Stable but would benefit from hospitalization. Objective P = wnl R = wnl BCS 2-3/9 EENT: no ocular d/c, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition, mild staining, pale pink mm PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs have mild increase in BV sounds ABD: SNP, NMP U/G: FI, no MGTs, no vulvar d/c MSI: Ambulatory x 4 but walks very gingerly, skin free of parasites, no masses noted, healthy hair coat, swelling of RF paw, LF paw, and LH paw-painful on palpation but improved CNS: Mentation appropriate – no signs of neurologic abnormalities: wnl Assessment: Conjunctivitis and d/c os – r/o viral-improved Lameness/swelling RF paw, LF paw, LH paw- r/o immune mediated vs plasma cell pododermatitis vs abscess vs other trauma-improved Dehydration Harsh BV sounds Oral ulcers-not appreciated today Prognosis: Good to fair Plan: Continue doxycycline until 3/17 Last day of dilute chlorhex and cerenia Extend LRS SQ 20ml/kg SID x3d until 2/23 Continue simbadol until 2/22 Continue terramycin until 2/22 Start metronidazole 15mg/kg PO BID x5d until 2/25 Recheck PCV/TS tomorrow Rec CXR when stable enough to sedate Rec IM consult +/- blood transfusion +/- steroids
17/02/2018
02/17/18 PVC 15%, TS 6.4g/dl done by 1397
Details on my behavior are…
Behavior Condition: 2. Blue
KNOWN HISTORY:: Troy was brought in as a stray, so there is no information on their behavior history or tendencies in a home environment.
MEDICAL BEHAVIOR:: 02/16/18 Observed Behavior – Quiet, alert, responsive
Cage Condition:: Cage is neat
Reaction to assessor:: Troy was resting upon approach.
Reaction when softly spoken to:: Troy wakes and lifts her head up, blinking sleepily at the assessor before placing it back down again to rest.
Reaction to cage door opening:: Troy remains soft and relaxed.
Reaction to touch:: Troy leans into petting right away, and then she gets up and head-butts the assessor. She has a soft body, begins to purr, and is very sweet.
Reaction to being picked up:: Troy remains soft and nuzzles against the assessor when held.
ACTIVITY LEVEL:: Moderate
VOCAL:: Quiet
CHARACTER TYPE: : Calm,Sweet,Affectionate
BEHAVIOR DETERMINATION: : Beginner
Behavior Asilomar: H – Healthy
BEHAVIOR SUMMARY:: Troy interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
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View all entries in: Safe Cats 2018-02