WALLACE – A1117718
Safe - 7-14-2017 Manhattan
SAFE 7/14/17 Wallace needs medical – has severe dental disease and possibly stomatitis and a dislocated jaw. Can someone help this poor girl? She is already spayed and would love a new home. With proper treatment she will feel much better.
WALLACE – A1117718
SPAYED FEMALE, BLACK / WHITE, DOMESTIC SH MIX,5 yrs
STRAY – ONHOLDHERE, HOLD FOR ID Reason PETINJURED
Intake condition INJ MINOR Intake Date 07/06/2017, From NY 10031, DueOut Date 07/09/2017,
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: 5-12 years based on dentition Microchip noted on Intake? Scanned neg on LVT intake, MC placed at that time History : Part of a colony, has been seen and fed for about a year. Pt is now suddenly unable to eat and has oral pain Subjective: Alert, moves away from my exam but when toweled, allows handling. Moves slowly. Objective BCS 4/9, MMs pink and saliva-coated EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Severe halitosis, very difficult to open or shut jaw. Missing lower right canine tooth, as well as all incisors and many PMs. Maxillary 4th premolar on left side is caked with tartar and there is severe gingivitis. No swelling noted along mandible, in either TMJ or zygomatic arch – muscle wasting in these areas. PLN: No enlargements noted H/L: NSR, NMA, Lungs clear, eupnic. Coughing/gagging on tracheal palpation. ABD: Non painful, no masses palpated U/G: Female MSI: Ambulatory x 4, skin free of parasites, no masses noted, fur coat slightly dry CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Severe dental disease vs. stomatitis vs. fracture – fracture is unlikely given lack of swelling along jaw Prognosis: Depends on ultimate diagnosis. Poor to good with appropriate treatment. Plan: 1. Simbadol 0.35 ml SQ SID x10 days 2. LRS 200 ml SQ SID x5 days 3. Sedated oral exam and skull rads 4. Clindamycin 1.5 ml PO SID x7 days 1088
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View all entries in: Safe Cats 2017-07