BROOKLYN – A1114160

Manhattan Center

My name is BROOKLYN. My Animal ID # is A1114160.
I am a female black and white domestic sh mix. The shelter thinks I am about 8 MONTHS old.

I came in the shelter as a STRAY on 06/04/2017 from NY 10304, owner surrender reason stated was PET HEALTH.

06/07/2017 AT RISK MEMO
Brooklyn A1114160 is at risk due to medical condition. Please see exam notes below.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
06/07/2017 Exam Type OBSERVATION – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 4.5 LBS.

PARAMETERS RESULTS REFERENCE RANGES RBC 5.27 M/ul 6.54-12.2 LOW HCT 22.5 % 30.3-52.3 LOW HGB 8.1 g/dl 9.8-16.2 LOW MCV 42.7 fL 35.9-53.1 MCH 15.4 pg 11.8-17.3 MCHC 36 g/dl 28.1-35.8 HIGH RDW 19.5 % 15-27 %RETIC 0.2 % RETIC 7.9 K/uL 3.0-50 WBC 35.02 K/uL 2.87-17.02 HIGH %NEUT 85.3 % %LYM 10.5 % %MONO 2.3 % %EOS 1.6 % %BASO 0.3 % NEUT 29.91 1.48-10.29 HIGH LYM 3.66 0.92-6.88 MONO 0.79 0.05-0.67 HIGH EOS 0.56 0.17-1.57 BASO 0.1 0.01-0.26 PLT 153 151-600 MPV 15.9 fl 11.4-21.6 PDW % PCT 0.24 % 0.00-0.79 Parameters Results Reference Ranges GLU 115 mg/dl 74-159 BUN 16 mg/dl 16-36 CREAT 0.7 mg/dl 0.8-2.4 LOW BUN/Creat 23 PHOS 4.5 mg/dl 3.1-7.5 CA 8.7 mg/dl 7.8-11.3 TP 7.3 g/dl 5.7-8.9 ALB 2.4 g/dl 2.2-4.0 GLOB 4.9 g/dl 2.8-5.1 ALB/Glob 0.5 ALT 31 U/L 12-130 ALKP 16 U/L 14-111 GGT 0 U/L 0-4 TBILI 0.2 mg/dl 0.0-0.9 CHOL 101 mg/dl 65-225 Na 160 mmol/L 150-165 K 4.1 mmol/L 3.5-5.8 Na/K 39 Cl 118 mmol/L 112-129 Osm calc 317 mmol/kg TT4 2.1 0.8-4.7

06/04/2017 PET PROFILE MEMO
06/04/17 14:27 Animal’s appearance – Brooklyn appeared slightly dirty and has an injured front left leg. Brooklyn appeared to be slightly underweight. Animal’s demeanor with you – Brooklyn has an injured leg and she was growling slightly but allowed to be transferred from carrier to carrier without issues. Client stated that a she found Brooklyn as a stray but because she noticed Brooklyn has an injured leg she decided to bring her to SIACC. Client stated that she cannot financially afford to bring a stray to the vet. She was able to place Brooklyn into a carrier and bring her to the shelter.

WEB MEMO
No Web Memo

06/07/2017 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
ACTIVITY LEVEL: Laid back VOCAL: Quiet CHARACTER TYPE: Shy, Curious MEDICAL BEHAVIOR: 6/4/17- Subjective: Growling, tries to get away. Once restrained with thick gloves, was able to do limited exam. EVALUATION: Cage Condition: No change Reaction to assessor: The cat remains resting on her cage bedding during the approach. Reaction to cage door opening: The cat becomes alert with eyes wide open, immobile in place. Reaction to touch: The cat at first, leans away with ears turned sideways then allows the touch and began to slowly rub against the assessor’ hand. Reaction to being picked up: Unable to perform due to medical conditions. BEHAVIOR SUMMARY: Average The cat interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.

GROUP BEHAVIOR EVALUATION
No Group Behavior Summary

06/04/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: 6-10 months Microchip noted on Intake? Scanned neg on LVT intake History : Stray, lame on one leg Subjective: Growling, tries to get away. Once restrained with thick gloves, was able to do limited exam. Evidence of Trauma seen – Fracture to LFL and likely fracture to LHL Objective BCS 5/9, MMs pink and moist EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Pale pink MMs, clean teeth PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Did not palpate due to pt pain and behavior U/G: Female MSI: Pt growled on palpation of left front and hind legs. Swelling palpable and visible at the carpus. Unwilling to walk around cage. CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Likely fractures to left front and possibly hind legs. Did not perform detailed exam once I determined that pt would need sedated rads tomorrow. Plan: Sedated rads of left front and hind legs tomorrow; check right legs under sedation as well Prognosis: Good-fair SURGERY: Temporary waiver due to fractures. 1088

06/07/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
Hx: Left carpal and left tarsal swelling, rads taken 6/5/17, soft tissue swelling with no fractures. Suspected polyarthritis, dehydration, fractured left maxillary canine tooth causing lip entrapment. Pt is receiving Simbadol for pain, amoxiclav to cover for infection. Dexamethasone injection given on 6/5/17, planned to start oral prednisolone today. Hematuria noted in kennel this morning. Good appetite early this morning; food in kennel currently untouched. S: Lying down in litter box, not moving. Tense. Allows petting but growls on palpation of legs and abdomen. O: QAR, decreased skin turgor, estimated 8% dehydrated. BCS 5/9, MMs pale pink and moist, CRT <2 sec. EENT: No discharge OU, AU, nose. PLNs: Not enlarged. H/L: Eupnic, not ausculted. Abd: Soft, no pain on palpation, no masses palpated. Bladder not palpable. M/S/I: Amb x4. Soft swellings at left tarsus and carpus – not larger than yesterday, subjectively the same size. No skin lesions noted. UG: Female, red urine noted in the kennel. Neuro: Alert and appropriate, no sign neurological deficiencies CBC/chemistry: Hct 22.5%, WBC 35 k/ul, neuts 29.91 K/ul Chem unremarkable Test for auto-agglutination – 1 drop saline mixed with 1 drop blood, cover slip, looked under low power – large amount of rouleaux. Blood smear made and stained and LVT reported large amounts of rouleaux but the lamp for the microscope BLEW before DVM had an opportunity to examine the slide. A: 1. Joint swellings – R/O polyarthritis (immune-mediated vs. Mycoplasma, Bartonella, other) vs. other 2. Anemia, hematuria – R/O immune-mediated vs. renal vs. other 3. Dehydration – R/O pain/poor appetite vs. renal dz vs. other 4. Rouleaux – R/O immune-mediated disease, response to mycoplasma, bartonella, other Short-term prognosis: Fair P: Switch amoxiclav to doxycycline 0.4 ml PO BID x10 days. Ordering new bulbs. 1088

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