BARRY – A1103771
Gone - 2-17-2017 Brooklyn
GONE 2/17/17 **NEEDS VET PLACEMENT BY 5PM tonight**Has spinal injury** Sweet 2 year old Barry has a back injury and is not able to urinate. Barry is very sweet and appreciates attention. Would you consider helping him?
BROOKLYN CENTER
BARRY – A1103771
NEUTERED MALE, BLACK, DOMESTIC SH MIX,2 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition INJ MINOR Intake Date 02/15/2017, From NY 11207, DueOut Date 02/18/2017,
Medical:
02/17
S: eating, purring, active
O: not using hind end willingly
laceration on tail
pain withdrawl when webbing of paw pads pinched
large bladder, not expressed with pressure – scant bloddy urine
cannot confirm that cat has urinated
A: unable to urinate, unable to express bladder
lumbosacral injury
P:
deadline 6 pm
continue to monitor, cathederize if placement
02/16/17
Recheck condition – lumbosacral injury with hindlimb paresis
S/O: QAR, ~5% dehydration. Allows all handling. No urine or feces in cage. No interest in food. BCS 5/9
EENT: Mild dental tartar/gingivitis, eyes clear, no ocular or nasal discharge
HL: Normal thoracic auscultation, no murmurs/arrhythmias, lungs clear
ABD: Soft, non-tender, large soft bladder
INTEG: Dirty hair coat
MS: Non-ambulatory in hind end, withdrawal reflex in both hind limbs, deep pain intact, decreased anal and tail tone, painful on palpation of hind end
UG: Neutered
A: Lumbosacral injury with spinal nerve damage, ability to urinate and defecate on own is still questional at this time, hind limb function appears improved since yesterday
P: Adding LRS 100ml sq q24 x 3 days, gave mirtazipine 1/4 tab PO. Scheduling additional tech checks to monitor for eliminations. Guarded prognosis
02/15/17
Pelvic/spinal rads obtained: Sacrum appears subluxated with respect to L7. No visible fractures of vertebrae, pelvis, or hind limbs.
Assessment: Lumbosacral injury with secondary spinal trauma.
Plan: Continue pain control and supportive care.
Guarded prognosis.
Monitor ability to urinate/defecate and watch for return to function in hind limbs.
02/15/17
Microchip scan neg.
M, approx 2 yrs
O: QARH. mm=lt pink, moist, CRT<2 s. Friendly, calm, allows all handling.
ORAL: Good dental condition.
EENT: No oculonasal discharge, no sneezing.
H/L: HR=200, RR=28, intermittent purring. Lungs clear, no dyspnea.
ABD/UG: Male, neutered. Abd soft, non-painful, urinary bladder small. No masses or organomegaly.
MS: Forelimbs WNL except several torn nails. Non-ambulatory on hind limbs, pos. withdrawal and nociception. Tail is limp, painful on palpation of tail base and dorsal pelvis.
INTEG: Superficial wound medial left stifle.
A: Suspect pelvic fracture(s).
P: Buprenorphine 0.3 mg/ml. 0.5 ml SQ. First dose given. Continue BID x 3 days.
Enrichment:
02/16/17
Apparently has a serious injury, in medical for care. Sweet, appreciated attention and petting. Handsome, only 2yo, needs XTLC ASAP. Gave him a fresh bowl of wet food and placed close to him. Gave some chicken.
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