CARAMEL MOCCIATTO – 15656
Safe - 12-17-2017 Manhattan Rescue: Anjellicle Cats Rescue Please honor your pledges: http://bit.ly/CaramelMocciatto15656
***SAFE 12/17/17***SWEET GIRL POSSIBLE HIGH RISE VICTIM NEEDS FOLLOW UP VET CARE FOR PELVIC FRACTURE! Three year old, Caramel Mocciato sustained an injury due to a possible high rise fall. She was taken to Blue Pearl Emergency Vet Hospital by police and is in dire need of follow up care, TLC and the chance to recover in a loving home. Don’t forget that when you foster, all reasonable medical expenses are covered. Please help write a happy ending to this sweet girl’s sad “tail” by offering to foster or adopt. MUST BE RESERVED BY NOON TOMORROW!!!
Manhattan Center
Hello, my name is Caramel Mocciatto . My animal id is #15656. I am a female brown tabby cat at the Manhattan Animal Care Center. The shelter thinks I am about 3 years 1 weeks old. – P
I came into the shelter as a stray on 08-Dec-2017.
Caramel Macciatto is at risk due to medical condition, fractured pelvis. There are no behavior concerns for caramel Mocciatto at this time.
My medical notes are…
Weight: 7.5625 lbs
Intact female Scan negative for a microchip Inserted during the initial # 981020025073783 About 3 years old OD was injured due high rise–blood seen in the area. OS was clear and there was no visible sign of injury Nose and mouth= Bloody discharge AU-did not assess Teeth are stained Did not appreciate a fx palate Was making gurggling sounds while breathing–poss. blood in the lungs (Hemothorax) Injuries appeared to be more fixated on the front of the face Unable to move hind legs–poss. pelvic fx vs other. The on call vet was called and the original plan of action was to proceed with Humane Euthanasia due to the extent of the injuries. However, while the intake and initial was occurring the police decided to file paperwork to pursue a cruelty investigation. Once the decision to file was made the police brought the cat to Blue Pearl Emergency Hospital in Manhattan
[DVM Intake] DVM Intake Exam Estimated age:3 y Microchip noted on Intake? implanted at acc 12/8/17 History : after lvt intake cat went to blue pearl for 4 days, then transferred back. diagnosed with ilial fx left side and SI luxation. history of high rise injury. radiographs not transferred Subjective: Observed Behavior -growled during exam but allows full intake Evidence of Cruelty seen -n Evidence of Trauma seen -y Objective T = P =220 R =wnl BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: clean teeth PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: presumed intact–did not shave MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: pelvic fx Prognosis:good Plan:cage rest vs orthopedic repair. recc nh placement had methadone done today. will start simbadol tomorrow0.5ml sq blue pearl consult recommended cage rest over surgery SURGERY: Permanent waiver due to injury
[Spay/Neuter Waiver – Medical Condition] Your newly adopted pet has been diagnosed with A PELVIC FRACTURE and the staff veterinarians are issuing a permanent waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.
History : High rise trauma on 12/8/17. Rads show left ilial fracture and SI luxation, no collapse of the pelvic canal. Pt was originally treated at BP with fentanyl or methadone, regular bladder expression – transferred to ACC on 12/12. Pt currently on Simbadol and cage rest. Subjective: Pt was very stressed and tense this morning just after first dose of Simbadol, frequently climbing into and out of litterbox (and climbing with difficulty) – but this afternoon pt was rolling around in his litterbox, relaxed and meowing. Objective BAR-H, MMs pink, BCS 6/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Growled on palpation. Cannot palpate bladder. U/G: Female, presumed intact MSI: Balances mostly on front legs but can put weight on hind legs – pt growls when they are touched. Skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Good anal tone Assessment: 1. Pelvic fractures 2. Concern for inability to urinate Prognosis: Poor. If pt cannot regain the ability to urinate, guarded. Plan: 1. Add LRS 150 ml SQ SID x5 days 2. Monitor urination, express bladder if needed 3. Decrease Simbadol from 0.5 ml SQ SID to 0.4 ml SQ SID 1088
**examined shortly after simbadol administration** S/O -QAR and grumpy initially but still allowed handling; approximately 15 minutes later, she was noted to be rolling around her cage and very affectionate; suspect she has initial reaction to simbadol or is bothered by the injection itself -mild appetite with canned food -moderate to large urination in box!! -mm pk, moist -no nasal discharge or sneezing -OU: open and clear -eupnic, heart/lungs WNL -initially abdomen was very tense on palpation; unable to palpate bladder; on re-examination, abdomen was soft and bladder was small -ambulatory x 4 with crouched gait in hind end -anal tone present A 1. Pelvic fracture P gabapentin 0.4 ml PO BID x 10 days recommend cage rest for about 8 weeks
Progress Exam History : High rise trauma on 12/8/17. Rads show left ilial fracture and SI luxation, no collapse of the pelvic canal. Pt was originally treated at BP with fentanyl or methadone, regular bladder expression – transferred to ACC on 12/12. – P currently on Simbadol, gabapentin, and cage rest. S/O: BAR and rolling around in cage/litter box this AM. Readily came up to cage door and wanted to be petted, but started growling when touched. Low growl throughout PE but able to handle and no other signs of aggression. Appears comfortable. MMs pink and moist, BCS 6/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: mildly tense but non-painful. bladder soft and moderately sized. U/G: Female, presumed intact MSI: ambulatory x 4 but stays low, crouches, and stumbles. No masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: normal externally, good anal tone Assessment: 1. Pelvic fractures 2. Concern for inability to urinate — urinated a large amount yesterday. No urine in box noted this AM. Prognosis: fair Plan: 1. continue gabapentin 0.4 ml PO BID x 10 days, until 12/23 2. Monitor urination, express bladder if needed 3. continue Simbadol 0.4 ml SQ SID, until 12/17
Caramel Mocciatto was scheduled for an AM tx of Simbadol 1.8mg/mL. Gave 0.5mL SQ at 8:30am- bottle #42. DVM 1382 LVT 1215
Caramel Mocciatto was scheduled for an AM tx of Simbadol 1.8mg/mL. Gave 0.4mL SQ @9:35 from bottle #43. 1382- DVM 12150 LVT
administered AM treatment of Simbadol 1.8mg/mL. Gave 0.4mL from bottle #43 at 9:24AM. DVM: 0577 Given by:0811
Details on my behavior are…
Behavior Condition: 1. Green
KNOWN HISTORY:: None, Caramel Mocciatto came into the care center as a stray.
MEDICAL BEHAVIOR:: During her medical examinations Caramel has generally growled when touched or handled but has not escalated to aggression. She shows some interest in and willingness to interact when approached.
Cage Condition:: Cage is slightly re-arranged
Reaction to assessor:: Caramel is at the front of the cage, rolling onto her side and back.
Reaction when softly spoken to:: Remains in place.
Reaction to cage door opening:: Caramel retreats to her litter box, wary but not tense.
Reaction to touch:: Caramel retreats from touch and due to her medical condition the assessor does not force the interaction. A soft toy is used for touch and Caramel becomes playful with the toy and allows gentle touch on the body.
Reaction to being picked up:: Not attempted to due medical condition and response to interaction.
ACTIVITY LEVEL:: Lively
Potential challenges comments:: With the limited interaction the Behavior Team has had with Caramel, it is difficult to determine her character types and potential challenges. Please refer to other observations for predictions about behavior in a future home.
BEHAVIOR DETERMINATION: : Experience
Behavior Asilomar: TM – Treatable-Manageable
Recommendations comments:: Based on Caramel’s observed discomfort with handling (growling) but overall tolerance of examination in spite of her medical condition, we recommend an experienced adopter who will address her medical condition while allowing Caramel to warm up to her new home and new family at her own pace.
For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected]. Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
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