CELLO – 21260
Gone - 2-21-2018 Manhattan
GONE 2/21/18 *NEEDS PLACEMENT BY 6PM* Poor Cello the cat was hit by a car, we can perform enucleation, but he will need jaw wiring @MACC
Manhattan Center
Cello 21260 4Y DSH 7 lbs.
Stray: 2/21/18
Medical:
21-Feb-2018
DVM Intake
Vet Notes: 9:37 AM
DVM Intake Exam
Estimated age: approx 5 years
Microchip noted on Intake?
Microchip Number (If Applicable):
History : cat brought in reportedly hit by car
Subjective:QAR
Observed Behavior -docile, allows handling
Evidence of Cruelty seen -n
Evidence of Trauma seen -proptosis OD, symphyseal fracture
Objective
BCS 5.5/9
EENT:
OD: proptosis, cornea appears dull, pupil mid sized and non responsive
OS: mild blepharospasm, serous discharge, appears visual
R sided epistaxis with severe nasopharyngeal congestion
Oral Exam:severe amount of blood in mouth; fractured upper and lower incisors; symphyseal fracture; slight step in soft palate with no open wound and minimal instability; edematous swelling on tongue
PLN: No enlargements noted
H/L: mild tachypnea with mild increased inspiratory effort due to upper airway congestion
ABD: Non painful, no masses palpated
U/G: neutered male
MSI:
-ambulatory x 4 with no obvious lameness or other orthopedic injuries but reluctant to walk
CNS: mentation appropriate but quiet, withdrawal intact x 4
-healthy hair coat, dried blood staining on paws
Rectal:grossly normal
Assessment
1. Head trauma
2. Symphyseal fracture
3. Soft palate fracture with mild instability
4. Proptosis OD
Prognosis: fair, will require wire stabilization of symphysis and enucleation OD when stable; may require feeding tube during recovery
Plan:
-sedated with 0.2 ml dexdomitor/0.15 ml ketamine IM for radiographs and further oral evaluation
-placed IVC, gave 100 ml bolus then continued at 15 ml/hr
-onsior 0.3 ml SQ SID x 3 days
-simbadol 0.4 ml SQ SID until placement
-baytril 100 mg/ml: 0.3 ml IM SID until eating and can switch to oral
SURGERY:neutered
21-Feb-2018
Tech Exam
L V T Notes: 9:23 AM
Sedated for radiographs and examination by 1382.
Radiographs taken, however they could not be uploaded to SB due to a technical error on the Xray unit.
Placed a 22gIVC in the RFL cephalic vein. 50ml bolus of LRS given, then plan to run fluids at 20ml/hr.
21-Feb-2018
Medical Assistant: 2:01 AM
Possible high rise vs HBC–Picture not taken
Appears most of the trauma is the front of the mouth
Neutered male
Scan negative for a microchip
Not inserted during the initial due to condition
Vaccination and preventatives withheld due to due condition.
About 4 years old
OD=Protruding out
OS=clear
Nose= bloody discharge
AU=waxy
Teeth= Top incisors missing.
Bleeding from inside the mouth
Breathing=Gurgling sound
Plan of Action as per vet:
Simbadol=.4
SQ fluids= 100ml
If condition does not improve Humane Euth would be the next step once approved
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View all entries in: Gone Cats 2018-02