VICTORIA – A1105464
Gone - 3-7-2017 Manhattan
DIED 3/7/17
Meet Victoria: Victoria is a young and very sweet kitty, but she has what appear to be full thickness burns covering the underside of her body. The DVM said she’s severely anemic and we have her on IV fluids. She will need hospitalization for at least a few days and could require a blood transfusion. In terms of care she require wound care, including daily bandage changes. The DVM feels it possible somebody burned her, since it would be extremely difficult for her to have gotten the burns on her own. Please help this sweet little girl today, she needs to leave the shelter and go to a veterinary hospital by 5pm today, 3/7.
MANHATTAN CENTER
VICTORIA – A1105464
FEMALE, BLACK, DOMESTIC MH MIX,8 mos
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition INJ MINOR Intake Date 03/06/2017, From NY 10458, DueOut Date 03/09/2017,
Initial Exam (3/06/17)
S:
O:
BAR H
EENT: dental tartar, deciduous dentition consistent with estimated age
Int: WNL
Lnn: WNL
CV: NMA, s&s pulses, pink moist mm
Resp: clear lungs, eupnic
Abd: SNP
UG:
MS: 4x ambulatory, BCS
Neuro: mentation WNL, no ataxia
A:
P:
px:
Re-exam + Wound treatment:
Sedated/maintained on iso for further evaluation of abdominal skin wounds
The skin wounds are partial thickness running along the ventral thorax but are extensive and deep in the abdominal and inguinal regions. Most of the caudal abdomen, extending down the medial aspect of both legs, has deep skin wounds/burns with necrotic tissue sloughing off. The entire wound was only partial debrided due to its severity and chronicity. The affected area was cleaned with a diluted nolvasan solution, SSD ointment was applied with telfa bandages, the kitten was then bandaged to try and keep the wound covered.
P: cont. pain and atb treatment
– bandage changes daily
– e-collar on
– monitor attitude/appetite/overall comfort
– placed R ceph. cath. and maint on LRS at 3 ml/hr overnight
Px: guarded – the wounds are extensive and will require intensive care
History Stray
Subjective Calm, purring, allows most handling but moves away from abd exam
Objective
BCS 2-3/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: Clean adult teeth
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Tucked up, non painful, no masses palpated
U/G: Female
MSI: Ambulatory x 4 but stilted gait in hind legs – difficult extension. Ventral thorax, abdomen and inguinal region have partial-thickness burns. Most severe in inguinal region – sloughing skin and greenish discharge covering entire inguinal region and medial upper thighs. Axliiae have red-orange partial-thickness burns with central eschar. Dorsum – NSF, good hair coat.
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment: Severe burns to ventrum
Plan:
1. Buprenorphine 0.3 mg/ml 0.3 ml OTM now
2. Clip and clean ventrum later today – will need to place moist dressings with wound gel in a “diaper” shape to keep the wounds covered and appropriately moist
3. Continue buprenorphine 0.15 ml OTM q12 hours starting tonight or tomorrow if not alert later tonight
4. Amoxiclav 45.7 mg/ml 0.5 ml PO BID x14 days – may need to extend
03/07/17 08:54
Hx: stray came in yesterday afternoon with extensive 2nd and 3rd degree burns over ventral thorac and abdomen, medial limbs, sedated for wound debridement but chronicity of wounds and extensive tissue necrosis precluded complete debridment, bandaged overnight, Amoxiclav and Buprenes
S: towel is soaked, IVC flushed, patent, IVF at 3ml/hr
O:
EENT: white mm, unable to determine hydration due to emaciated body condition
H/L: NMAHR 190 Resp 24
Neuro/MS: laterally recumbent, minimally responsive except to pain, paw swollen distal to IVC tape
Int: bandaged over majority of body, purulent malordorous dc visible under bandaged inguinum and hindlimbs
A:
2nd snd 3rd degree burns over ventrum and limbs
anemia
P:
gave Buprenex dose at 8:30 am this morning (not given last night)
discont Amoxiclav
start Ampicillin IV tid
PCV/TP (unable to obtain full blood sample for CBC CHem)
px: poor, recommend hospitalization and intensive wound treatment
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