CASSIE – 27381

MANHATTAN CENTER

**FELV POSITIVE**

Cassie 27381

Care Center Location: Manhattan

ZIP Code From: 10459

Intake Type: Stray

Medical Behavior: Blue

Age: 8 years

Sex: Female

Weight: 3 lbs 14.08 oz

 

Medical:

9-May-2018
Progress Exam
Vet Notes: 9:52 PM

S/O
-QAR, skittish at first but then becomes affectionate and allows handling
-significant nasopharyngeal congestion, sneezing
-mildly prolonged skin turgor
-referred upper airway noise, low purring on auscultation
-soft abdomen

A
1. URI
2. FIV
3. Dehydration, mild

P
-CWCT, consider IVF tomorrow if dehydration worsens/fails to resolve
8-May-2018
Spay-Neuter Waiver Documentation
Vet Notes: 4:06 PM

[Spay/Neuter Waiver – Age]

It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.
8-May-2018
DVM Intake
Vet Notes: 2:04 PM

[DVM Intake]
DVM Intake Exam

Estimated age: 8
Microchip noted on Intake? n
Microchip Number (If Applicable): n

History : stray

Subjective: QAR

Observed Behavior – timid, tried to get off the examine table during the examination

Evidence of Cruelty seen – n

Evidence of Trauma seen – n

Objective

T = –
P = 180
R = 80
BCS = 2.75/9
Hydration status normal

EENT: Marked Nasal Congestion – Green mucoid nasal discharge

Eyes clear, ears brown greasy debris, no ocular discharge noted

Oral Exam: Moderate staining on all arcades
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Vulva UR – intact female
MSI: Ambulatory x 4, skin free of parasites, no masses noted, hair easily falling out, matted/greasy on hind
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Externally normal

Assessment:

1) Severe URI

2) FELV POSITIVE

Prognosis: Fair

Plan:
1) Doxycycline 10 MG/KG SID PO for 14 days – 0.35 ml
2) Sub Q fluids 100ml SID for 4 days
3) Cerenia 1mg/kg 0.3 sq SID for 4 days
4) Fortiflora 1/2 sachet with wet food
5) Vit B 0.3 ml SQ once only
6) Nebulize with saline SID for 5 days

SURGERY:
Permanent waiver due to age and illness
Behavior:

ENRICHMENT NOTES:
Severe URI. Resting in litter box, became alert on approach, sat up, eyes fully dilated. Retreated when door opened, then tried to sniff hand, warmed up immensely. Leaned and arched enthusiastically into pets, purred loudly, started to roll over. Relentlessly affectionate.

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