BUMBLEBEE – A1124758

Medical::

09/08/17:

DVM Intake Exam

Estimated age: ~8-10 weeks

Microchip noted on Intake?  negative

History :  stray, brought in by o’s child because of an injured LHL

Subjective: QAR, ~5% dehydrated

Observed Behavior – very sweet. Easily handled and easy to pick up. Enjoys being held and did well for all medical handling and procedures.

Evidence of Cruelty seen – no

Evidence of Trauma seen – yes

Objective

P =    wnl                       R =    eupneic                           BCS 4/9

EENT:  Eyes clear, ears clean, no nasal discharge noted

Oral Exam:  kitten dentition, no oral ulcers

PLN:  No enlargements noted

H/L:  NSR, NMA, CRT < 2,    Lungs clear, eupneic

ABD:  Non painful, no masses palpated

U/G:  MI

MSI:  Ambulatory x 4 with LHL lameness and severe swelling around LHL and left side of perineum with emphysema under the skin, skin free of parasites, no masses noted, healthy hair coat

CNS:  mentation appropriate – no signs of neurologic abnormalities

Assessment:

LHL injury with severe swelling-missing acetabular cup and coxofemoral luxation LHL

Severe swelling of LHL

Underage

Dehydrated

Plan: Continue to monitor while at BACC

2 view LHL and pelvis-acetabular cup is missing on th left side with lucation of the coxofemoral joint-r/o due to trauma vs congenital vs other

Simbadol 0.24mg/kg SQ SID x5d

Shave LHL to look for puncture wounds-no wounds noted

Recheck pain daily

Prognosis: good

SURGERY: temporary waiver from surgery due to underage and injury

09/09/17:

Monitor condition

S/O: QAR. ~5% dehydration. Eating well but needed a little coaxing.  Normal urine and stool in litter, allows all handling

EENT:  Eyes clear, no ocular or nasal discharge, pink mm

HL: No sneezing, normal RR/RE

ABD: Soft, non tender

INTEG: Small amount of bruising at left hip

MS: Non ambulatory LH with significant swelling around hip joint

UG: Male

Assessment:

LHL injury -severe swelling-missing acetabular cup and coxofemoral luxation LHL – appears comfortable

Severe swelling of LHL

Underage

Dehydrated

Plan: Continue to monitor while at BACC. Adding LRS 20ml Sq q24 x 3 days.

Maybe require LH amputation.   Prognosis: good with appropriate treatment

Profile::

09/08/17:

Limited profile, kitten was only in home for a short amount of time.

Basic information: Bumblebee is a 3 month old, orange and white DSH. He came in as a stray to his owner and he has an injury to his rear leg, but no known health issues. He has not seen a vet recently.

Socialization: Bumblebee has not lived with or spent time with children, dogs or other cats. He is described as being friendly and outgoing, and allows for all handling by his owner.

Behavior : Bumblebee is an affectionate and playful kitten. He likes to be near his family and before his leg injury would follow them around to be near them.

For a new family to know: Bumblebee is litter box trained using an uncovered box and clumping litter. He eats both wet and dry food.

Behavior during intake: Bumblebee was lethargic but did allow for all handling and meowed once while with counselor. When offered wet food he did eat and was drinking water.