WESLEY aka WANDA – A1121754
Safe - 8-17-2017 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
*** SAFE 8/17/17 *** Wesley (Wanda) is a friendly boy who was brought in with injuries – he has mobility issues, some head bobbing, his tail end is broken, and was weak and dehydrated. He need further eval but may possibly have cerebellar hypoplasia. Needs rescue asap.
Manhattan Center
My name is WESLEY. My Animal ID # is A1121754. – P
I am a neutered male black domestic sh. The shelter thinks I am about 1 YEAR
I came in the shelter as a STRAY on 08/12/2017 from NY 10472, owner surrender reason stated was STRAY.
08/15/2017 AT RISK MEMO
A1121754 Wesley is At Risk for medical reasons (Please see exam below)
MOST RECENT MEDICAL INFORMATION AND WEIGHT
08/15/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 5.1 LBS.
Hx: Depressed mentation on intake (8/12/17), ataxia, cervical ventroflexion on intake; URI with conjunctivitis. Receiving IV LRS @ 7 ml/hr, doxycycline, clindamycin, erythromycin ophth ointment. Yesterday, mentation much improved. S: Sitting in kennel, when door is opened pt mews and head-butts O: QAR, estimated 8% dehydration based on decreased skin turgor, MMs pale pink. BCS 2/9 EENT: Mild mucoid ocular discharge. Mild tartar. Clean nose. H/L: Purring, possible subtle grade 1/6 heart murmur vs just purring – very hard to tell! Eupnic. Abd: Soft, nonpainful M/S/I: Underweight, muscle wasting. Appears ambulatory – did not take pt out for walking today. Neuro: Neck ventroflexion – at rest, this is very prominent, but pt can lift head when stimulated. Appears alert and appropriate when stimulated. Did not assess ataxia today. A: 1. Neurological disease – R/O toxoplasma, other infectious condition, metabolic condition (normal potassium), neurodegenerative disease, other 2. Emaciation – R/O secondary to neuro disease vs. other 3. Possible heart murmur P: Increase IV to 8 ml/hr. Recommend toxo titers, other testing.
PET PROFILE MEMO
No Pet Profile Memo
WEB MEMO
No Web Memo
08/15/2017 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
ACTIVITY LEVEL: Laid back VOCAL: Quiet CHARACTER TYPE: Calm, Sweet MEDICAL BEHAVIOR: 8/12/17- Observed Behavior – allows all handling ENRICHMENT NOTES: 8/13/17- Crouched in middle of cage, head hanging but awake. Became more alert when offered treats, started eating with a little difficulty. Leaned into pets, meowed, and started trying to eat chicken. EVALUATION: Cage Condition: No change Reaction to assessor: Wesley remains calm, lying down on his cage bedding during the approach. Reaction to cage door opening: Wesley remains soft and relaxed, immobile in place. Reaction to touch: Wesley leans into the assessor’s hand and appreciates the petting on the head and body. Reaction to being picked up: Allows the pickup and remains calm. BEHAVIOR SUMMARY: Beginner Wesley easy to handle and tolerates all petting. This cat can go to a beginner home.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
08/12/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: Microchip noted on Intake? none History : Subjective: Observed Behavior – allows all handling offered canned food eating well Evidence of Cruelty seen – no Evidence of Trauma seen – possible Objective P = 170 R = 30 BCS 3.5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: pigmented gums, mild gingivitis, approx 7% dehydration PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4 with CP deficits in RH, slow staggered gait, ventroflexion of neck with some head bobbing, no spinal pain, no palpable long bone fx’s, end of tail broken (old injury, calluses on caudal aspects of metatarsals, skin free of parasites, no masses noted, healthy hair coat CNS: intermittent head bobbing, CP deficit in RH, slightly depressed mentation Assessment neurologic abN: r/o TL lesion, cerebellar hypoplasia, infectious, other broken tail, old injury underweight moderate dehydration, weak ventroflexion of neck: r/o weakness, hypoglycemia, hypokalemia, hyperthyroidism, toxicity, polyneuropathy, other Plan IV catheter LRS 7ml/hr requesting CBC/chem/t4 moderate anemia: r/o secondary to underlying cause neutrophilia with bands suspected: r/o infectious low EOS and BASO- r/o stress leukogram, other mild increase in GLOB: r/o inflammation, infectious ALT and ALK PHOS mild increases: r/o primary hepatic disease, HL, secondary to underlying cause T4: NSF add on pet tinic 0.5ml PO SID x10 convenia 80mg/ml: 0.22ml SQ once rec AUS for further investigation of abN Prognosis: open, if p doesn’t start to improve within next 24-48hrs, consider humane euth SURGERY: n/a
08/15/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
Hx: Depressed mentation on intake (8/12/17), ataxia, cervical ventroflexion on intake; URI with conjunctivitis. Receiving IV LRS @ 7 ml/hr, doxycycline, clindamycin, erythromycin ophth ointment. Yesterday, mentation much improved. S: Sitting in kennel, when door is opened pt mews and head-butts O: QAR, estimated 8% dehydration based on decreased skin turgor, MMs pale pink. BCS 2/9 EENT: Mild mucoid ocular discharge. Mild tartar. Clean nose. H/L: Purring, possible subtle grade 1/6 heart murmur vs just purring – very hard to tell! Eupnic. Abd: Soft, nonpainful M/S/I: Underweight, muscle wasting. Appears ambulatory – did not take pt out for walking today. Neuro: Neck ventroflexion – at rest, this is very prominent, but pt can lift head when stimulated. Appears alert and appropriate when stimulated. Did not assess ataxia today. A: 1. Neurological disease – R/O toxoplasma, other infectious condition, metabolic condition (normal potassium), neurodegenerative disease, other 2. Emaciation – R/O secondary to neuro disease vs. other 3. Possible heart murmur P: Increase IV to 8 ml/hr. Recommend toxo titers, other testing.
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