TRUDY – A1118994
Safe - 7-21-2017 Brooklyn
SAFE 7/21/17 **4-Month Old Calico Kitten – TRUDY – NEEDS FOLLOW UP VET CARE FOR LEG FRACTURE ASAP!**
Trudy was found lying in the street. She has multiple fractures and may need amputation of the left hind leg. She also has some wounds. She is 4 months old and needs immediate medical.
BROOKLYN CENTER
TRUDY – A1118994
FEMALE, CALICO, DOMESTIC SH MIX,4 mos
STRAY – STRAY WAIT, NO HOLD Reason PET HEALTH
Intake condition INJ SEVERE Intake Date 07/19/2017, From NY 11414, DueOut Date 07/22/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: ~4mos Microchip noted on Intake? no History : Stray found injured in street by surrenderers home. Subjective: Kitten is Q/BARH Observed Behavior – Kitten laying sternal in carrier. Allows to be lifted out, does not try to flee. Not startled by quick movements or noises. Sedated for radiographs due to possible fracture. Gave 0.05 mLs Telazol IM ~11:10AM. Applied artificial tears OU. Adequate sedation for radiographs and clipping/cleaning of wound, but kitten was growling consistently when LHL manipulated. Evidence of Cruelty seen – no Evidence of Trauma seen – yes, multiple superficial abrasions, fx of LHL Objective T = P = R = BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Healthy deciduous dentition; adult incisors in, adult canines coming in PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: wnl MSI: Kitten bearing weight on forelimbs but not wanting to stand on one or both hindlimbs, live fleas seen, no masses noted, superficial abrasion right carpus and left stifle, there is also a small (<5mm) puncture/laceration left stifle. CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment: Radiographs reveal femoral head and proximal tib/fib fracture LHL, Suspect HBC Plan: Kitten had loose stool in fur. Parvo Test – Neg. Clipped around wounds. Bathed hind end and gently scrubbed wounds with chlorhexidine, dried, and applied SSD. Gave ~40 mLs SQ LRS. Gave 0.21 mLs Simbadol SQ – continue SID for pain until placed. Start on oral Amoxi/Clav 45.7mg/ml – give 0.5mls PO q12h x 7d. Recommend rescue placement due to multiple fractures. Fractures can be fixed surgically, but amputation of the LHL is also a viable option. Prognosis: Good SURGERY: Temporary waiver due to injury
Weight 4.0
DVM Intake Exam
Estimated age: ~4mos
Microchip noted on Intake? no
History : Stray found injured in street by surrenderers home.
Subjective: Kitten is Q/BARH
Observed Behavior – Kitten laying sternal in carrier. Allows to be lifted out, does not try to flee. Not startled by quick movements or noises. Sedated for radiographs due to possible fracture. Gave 0.05 mLs Telazol IM ~11:10AM. Applied artificial tears OU. Adequate sedation for radiographs and clipping/cleaning of wound, but kitten was growling consistently when LHL manipulated.
Evidence of Cruelty seen – no
Evidence of Trauma seen – yes, multiple superficial abrasions, fx of LHL
Objective
T = P = R = BCS 5/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: Healthy deciduous dentition; adult incisors in, adult canines coming in
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: wnl
MSI: Kitten bearing weight on forelimbs but not wanting to stand on one or both hindlimbs, live fleas seen, no masses noted, superficial abrasion right carpus and left stifle, there is also a small (<5mm) puncture/laceration left stifle.
CNS: mentation appropriate – no signs of neurologic abnormalities
Rectal: not performed
Assessment: Radiographs reveal femoral head and proximal tib/fib fracture LHL, Suspect HBC
Plan: Kitten had loose stool in fur. Parvo Test – Neg. Clipped around wounds. Bathed hind end and gently scrubbed wounds with chlorhexidine, dried, and applied SSD. Gave ~40 mLs SQ LRS. Gave 0.21 mLs Simbadol SQ – continue SID for pain until placed. Start on oral Amoxi/Clav 45.7mg/ml – give 0.5mls PO q12h x 7d. Recommend rescue placement due to multiple fractures. Fractures can be fixed surgically, but amputation of the LHL is also a viable option.
Prognosis:
Good
SURGERY: Temporary waiver due to injury
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