CASE – 23973
Safe - 4-3-2018 Brooklyn
SAFE 4/3/18 Affectionate & Sweet Roly Poly AVERAGE Behavior Boy – CASE Needs Cage Rest For Hind Limb Trauma! *NERVE DAMAGE* Affectionate Kitty Case Loves Belly Rubs! @BACC. Case is a very sweet tabby guy who appears to have some sort of nerve damage that’s affecting his hind legs, as well as an abrasion on one of his legs that may be from the same traumatic event. He can walk some but it’s a little crooked and his legs tend to collapse after a prolonged period of time. He doesn’t appear to be in pain but we’re giving him pain meds to be sure. He’s using the litter box well and has a good appetite for both food and affection! As you can see in these photos, he’s just a loveable roley-poley sort of kitty who wants nothing more than to be petted all over (even his tummy is okay!). He appears stable and comfortable for now and essentially just needs monitoring.
Brooklyn Center
Case 23973, 5 Years Old, Gray and White Tabby DSH, Stray 03/29/18
BEHAVIOR:
KNOWN HISTORY:
Case was brought in as a stray, so we cannot speak to his behavior in his previous home.
MEDICAL BEHAVIOR:
03/29/18
Observed Behavior – Allows all handling, slightly timid.
ENRICHMENT NOTES:
03/31/18
At the front of the kennel, rolling around and rubbing against the cage furnishings. He purrs softly and gives gentle head butts. Very affectionate. Allows petting all over, didn’t mind being picked up. Wasn’t interested in treats today. Doing well!
Cage Condition:
Cage is neat
Reaction to assessor:
Case is lying in back of his kennel as the assessor approaches, body relaxed and ears forward.
Reaction when softly spoken to:
Case makes eye contact with soft eyes when spoken to, ears remaining forward.
Reaction to cage door opening:
Case remains relaxed and rolls over onto his side as the kennel door opens.
Reaction to touch:
Case allows petting along his head and body while leaning in and scooting forward. He turns his head back to head-butt the assessor’s hand and begins to purr softly. He reaches out towards the assessor with soft paws each time the assessor stops petting him.
Reaction to being picked up:
Pick up was not attempted at this time due to Case’s injuries/medical condition.
ACTIVITY LEVEL:
Mellow
VOCAL:
Quiet
CHARACTER TYPE:
Social
Calm
Sweet
Affectionate
POTENTIAL CHALLENGES:
None
BEHAVIOR DETERMINATION:
Average
RECOMMENDATIONS:
None
BEHAVIOR SUMMARY:
Case 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.
Medical:
Animal ID
Name
Type
Mixed
Color(1)
Color(2)
Gender
23973
Case
Cat
Yes
Gray
White
Male
Spayed / Neutered
Age
Primary Microchip #
Rabies Tag
Weight
Spay / Neuter Due Date
Temperature
No
5 Years
9 lbs 9.6 oz
Veterinary Clinic Software Record #:
Weight: 9 lbs 9.6 oz
Incoming Agency: Animal Care Centers of NYC
Date of Weighing: 3/29/2018
Date Spayed / Neutered:
Schedule Surgery Date:
Stitches Removal Date:
Clinic Name:
Previously Spayed / Neutered: No
General Vet Notes:
Previous Medical Details:
Known Allergies or Medical Conditions:
Feeding Requirements:
Indemnities/Waivers:
Medical Notes
Notes
Date
No Medical Notes Stored
Vet Treatments
Date Administered
Vet Treatment Type
Treatment Result
Administered by External Vet
3/29/2018
Microchip Implantation
3/29/2018
Rabies
3/29/2018
Fvr-Cp Series
3/29/2018
Flea/Tick Application – Topical
3/29/2018
FeLV/FIV Snap
Negative
Vet Treatments Due
Date Due
Vet Treatment Type
4/13/2018
Fvr-Cp Series
4/29/2018
Flea/Tick Application – Topical
3/29/2019
Rabies
Medications
Medication
Amount Dispensed
Frequency
Date From
Date To
Doses Administered
Vet Name
Notes
Simbadol 1.8mg/ml
0 ml
.58 every 1 day(s)
3/29/2018
31-Mar-2018
0
VET
simbadol 0.58ml SQ
Drug Usage
No drugs administered to this animal.
2-Apr-2018
Progress Exam
Blood Work Interpretation
Vet Notes: 8:53 AM
Progress exam
History : Stray intake 3/29-hindlimb neuropathy, started on simbadol
Pelvic and whole body rads-No pelvic or long bone fractures seen, spine appears WNL, very large bladder
CXR WNL
Subjective: BARH. No csvd. Walks with splayed legs. Normal U in litter box. Great appetite. Very friendly.
Objective
P = WNL
R = WNL
BCS 4/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: adult dentition, mild dental disease, no oral lesions
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 mild ataxia of HLs with legs splayed to outside, cachexia MCS 1/3 in HLs, skin free of parasites, no masses noted, GHC
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment:
Hindlimb ataxia r/o trauma vs infectious vs other
Prognosis: Fair
Plan:
CBC-mild thrombocytopenia 83 (151-600), mild lymphopenia 0.67 (0.92-6.88)
Chem-mildly elevated ALT 185 (12-130)
BG-92
Start doxycycline 10mg/kg PO SID x28d until 4/30 to r/o infectious cause
Neuropathy make take weeks to months to improve/resolve
VET 991416
1-Apr-2018
Progress Exam
Vet Notes: 9:35 AM
Progress exam
History : Stray intake 3/29-hindlimb neuropathy, started on sinmbadol
Pelvic and whole body rads-No pelvic or long bone fractures seen, spine appears WNL, very large bladder
CXR WNL
Subjective: BARH. No csvd. Normal bm and u in litter box. HL neuropathy seems to be improving and is able to walk around on own. Mild cachexia in HLs. Eating well and seems comfortable.
Objective
P = WNL
R = WNL
BCS 4/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: adult dentition, mild dental disease, no oral lesions
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 mild ataxia of HLs with legs splayed to outside. CPs wnl, withdrawals wnl, cachexia MCS 1/3 in HLs, skin free of parasites, no masses noted, GHC
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment:
Hindlimb ataxia r/o trauma vs other
Prognosis: Fair
Plan:
BW scheduled
No treatments at this time, cage rest and monitoring. Neuropathy make take weeks to months to improve/resolve
VET 991416
31-Mar-2018
Progress Exam
Vet Notes: 10:46 AM
Monitor condition
S/O: BARH. Active, attention seeking, allows all handling. Eating well, normal urination and defecation in litterbox
EENT: Pink mm, eyes clear, no ocular or nasal discharge
HL: No sneezing, normal RR/RE
INTEG: Full coat, healing wound at right hind limb
MS: Ambulatory x 4 with severe hind end lameness, occasionally falls to side and/or splays hind limbs laterally
UG: Male
A: Hind end lameness – suspect caudal neuropathy — stable condition, doing well at this time
P: Continue with current treatment and monitoring plan
Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
30-Mar-2018
30-Mar-2018
Progress Exam
Vet Notes: 10:43 AM
Monitor condition – suspect caudal neuropathy, monitor for urination
S/O: BARH. Very attention seeking, allows all handling. Eating well. Normal urine in litter
EENT: Eyes clear, no ocular or nasal discharge, mild dental staining, pink mm
HL: Normal thoracic auscultation
ABD: Soft, non tender
INTEG: Full coat, slightly dirty, healed wound at right medial hind limb
MS: Ambulatory x 4 with severe hind end lameness, will fall over to side, legs will splay laterally, able to recover on own
UG: Male
A: Severe hind end lameness, no signs of fractures on radiographs – R/O trauma with caudal neuropathy
P: Continue with current treatment and monitoring plan. Fair prognosis for full return of function
VET
29-Mar-2018
Spay-Neuter Waiver Documentation
Vet Notes: 12:20 PM
[Spay/Neuter Waiver – Medical Condition]
Your newly adopted is currently permanently waived from the spay/neuter requirements of the City of NY by the staff veterinarians due to injury/lameness. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.
VET
29-Mar-2018
Radiograph Review
Vet Notes: 12:26 PM
Pelvic and whole body rads — dex/torb 0.02/0.08ml given for sedation by LVT
Thoracic cavity WNL
No pelvic or long bone fractures seen, spine appears WNL
Very large bladder
R/O: Neuropathy of caudal spine (‘tail pull injury’) vs other
Rec Simbadol 0.58ml SQ q24 x 3 days. Monitor ability to urinate. Fair prognosis
Vet Notes: 12:01 PM
DVM Intake Exam
Estimated age: ~5yrs
Microchip noted on Intake? no
History : Stray
Subjective: BAR. ~5% dehydration
Observed Behavior – Allows all handling, slightly timid
Evidence of Cruelty seen – No
Evidence of Trauma seen – Yes
Objective
P = WNL
R = WNL
BCS 4/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Pink mm, mild dental tartar
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated – very large soft bladder, does not express with gentle pressure
U/G: Male
MSI: Ambulatory x 4, no palpable fractures, hind end lameness, hind limbs splay laterally when standing, skin free of parasites, no masses noted, wet dirty hair coat especially along ventrum and paws, healed wounds/abrasion along medial and caudal right hind limb
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment: Rule out traumatic injury to back and/or hind end
Prognosis: Fair/open
Plan: Radiographs pending.
SURGERY:
Permanent waiver due to injuries/lameness
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.
View all entries in: Safe Cats 2018-04