DAZZ – 19314
Safe - 2-2-2018 Brooklyn Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
*** SAFE 02/2/18 *** Friendly Purr Machine DAZZ HAS SPINAL TRAUMA! NEEDS FOLLOW UP VET CARE ASAP!
Brooklyn Center
Hello, my name is Dazz. My animal id is #19314. I am a male white cat at the Brooklyn Animal Care Center. The shelter thinks I am about 3 years old. – P
I came into the shelter as a aco impound on 27-Jan-2018.
Dazz 19314 is at risk for a spinal injury that will need further care at an outside medical facility. Dazz does not have any behavior concerns at this time, however we are unsure if his injuries are affecting his behavior.
My medical notes are…
Weight: 7.54 lbs
27/01/2018
[DVM Intake] DVM Intake Exam Estimated age: 3-5y Microchip noted on Intake? N Microchip Number (If Applicable): N History : stray Subjective: bar, but ataxic hind end Observed Behavior – allows all aspects of exam and handling Evidence of Cruelty seen – N Evidence of Trauma seen – Y Objective T = P = 200 bpm R = wnl BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: pdz mandibular M1’s bilaterally PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, stool present U/G: Large/full bladder, but not painful, irritation to scrotum and prepuce MSI: forelimbs wnl, voluntary movement of back legs but ataxia, no obvious fx palpated,flea dirt and overall dirty, unkempt haircoat CNS: Mentation appropriate hindlimb ataxia Rectal: rectal tone ok and stool in rectum Assessment: 3-5 yr mi x 2 dsh spinal injury – trauma vs inflammatory vs infection hemorrhagic urine w/ large bladder – secondary to spinal trauma r/o secondary infection underweight Prognosis: guarded for full return to function poor if unable to eliminate on his own Plan: lat and vd pelvic rads – no overt pelvic fractures easily passed 5FR red rubber ucath and emptied bladder of approx. 200cc of hemorrhagic, foul-smelling urine. Catheter tip became lodged in tip of penis, able to push back into urethra and then remove, but swelling at tip of penis simbodol 0.3 cc sq onsior 0.45 cc sq convenia 0.33 cc sq 100 cc lrs sq ua/chem/cbc/lytes observe in medical for appetite and ability to urinate and defecate SURGERY: Temporary waiver due to spinal injury/trauma
27/01/2018
no overt pelvic or spinal fracture very full bladder
27/01/2018
UA: sg >1050, 2+ blood, 1-2+ protein, 3-4+ leuks cbc: Stress leukogram wbc 18 w/ neuts 15 and decr eos chem: bun 41 dehydration secondary to trauma
27/01/2018
[Spay/Neuter Waiver – Medical Condition] Your newly adopted is currently temporarily waived from the spay/neuter requirements of the City of NY by the staff veterinarians due to spinal injury/trauma. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.
28/01/2018
Progress exam History : stray intake 1/27-has ataxia and full bladder. Was sedated and RR u-catheter passed to empty bladder-hemorrhagic, foul smelling urine. Started on simbadol, onsior, convenia, SQ LRS. Rads: lat and vd pelvic rads – no overt pelvic fractures UA: USG >1050, 2+ blood, 1-2+ protein, 3-4+ leuks CBC: Stress leukogram wbc 18 w/ neuts 15 and decr eos Chem: BUN 41 Subjective: BARH. Eating well. Empty litter box but bladder is small and soft. Paralyzed in the HLs but stable. Was friendly and purring for exam. Objective P = wnl R = wnl BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic, purring ABD: Non painful, no masses palpated, bladder small and soft, unable to be expressed U/G: MI, scrotal dermatitis/bruising MSI: FL wnl, cachexia in HLs, paraplegia with + withdrawal and deep pain but absent CPs, decreased tail and anal tone but there is some tone CNS: Mentation appropriate -see above for HLs Assessment: r/o Spinal injury – trauma vs inflammatory vs infection Hemorrhagic urine w/ large bladder – secondary to spinal trauma r/o secondary infection Underweight Prognosis: Poor to guarded for full return to function Plan: Continue simbadol 0.24mg/kg SQ SID until 1/29 Continue onsior 2mg/kg SQ SID until 1/29 Apply SSD cream to scrotum BID x3d until 1/30 Rec Nh placement with neurology consult
29/01/2018
Progress exam History : stray intake 1/27-has ataxia and full bladder. Was sedated and RR u-catheter passed to empty bladder-hemorrhagic, foul smelling urine. Started on simbadol, onsior, convenia, SQ LRS. Rads: lat and vd pelvic rads – no overt pelvic fractures UA: USG >1050, 2+ blood, 1-2+ protein, 3-4+ leuks CBC: Stress leukogram wbc 18 w/ neuts 15 and decr eos Chem: BUN 41 1/28-was accidentally given double dose of onsior (one dose in am, one dose in pm). Bladder was large and expressed by DVM. Subjective: QARH. Does not like being taken out of the cage and will hiss. Able to walk around a little on his own with assistance but mostly drags HLs. Was given onsior BID yesterday-will have bw today. Eating well. Empty litter box with firm bladder. Does not seem painful. Objective P = wnl R = wnl BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted PLN: No enlargements noted H/L: purring ABD: tense, distended, bladder moderate sized and firm U/G: MI, scrotal dermatitis/bruising MSI: FL wnl, cachexia in HLs, paraplegia with + withdrawal and deep pain but absent CPs, decreased tail and anal tone but there is some tone, covered in urine CNS: Mentation appropriate -see above for HLs Assessment: r/o Spinal injury – trauma vs inflammatory vs infection Hemorrhagic urine w/ large bladder – secondary to spinal trauma r/o secondary infection Underweight Mild stress leukogram Prognosis: Poor to guarded for full return to function Plan: Continue simbadol 0.24mg/kg SQ SID until 1/29 D/c onsior Express bladder gently BID Butt bath CBC-mild leukocytosis 23.25 (2.87 – 17.02 K/µL), mild neutrophilia 14.31 (1.48 – 10.29 K/µL), mild lymphocytosis 6.97 (0.92 – 6.88 K/µL), and mild monocytosis 0.99 (0.05 – 0.67 K/µL) Chem-mild hypokalemia 3.3 (3.5 – 5.8 mmol/L) Apply SSD cream to scrotum BID x3d until 1/30 Rec Nh placement with neurology consult
30/01/2018
Progress exam History : stray intake 1/27-has ataxia and full bladder. Was sedated and RR u-catheter passed to empty bladder-hemorrhagic, foul smelling urine. Started on simbadol, onsior, convenia, SQ LRS. Rads: lat and vd pelvic rads – no overt pelvic fractures UA: USG >1050, 2+ blood, 1-2+ protein, 3-4+ leuks CBC: Stress leukogram wbc 18 w/ neuts 15 and decr eos Chem: BUN 41 1/28-was accidentally given double dose of onsior (one dose in am, one dose in pm). Bladder was large and expressed by DVM. 1/29: CBC-mild leukocytosis 23.25 (2.87 – 17.02 K/µL), mild neutrophilia 14.31 (1.48 – 10.29 K/µL), mild lymphocytosis 6.97 (0.92 – 6.88 K/µL), and mild monocytosis 0.99 (0.05 – 0.67 K/µL) Chem-mild hypokalemia 3.3 (3.5 – 5.8 mmol/L) Subjective: QARH. Eating well. Has bladder tone but is not urinating by himself-he is being expressed twice a day. He has worsening scrotal dermatitis and bruising. He can drag himself around on his HLs but is not able to support any weight by himself. No csvd. No BM. Objective P = wnl R = wnl BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted PLN: No enlargements noted H/L: NMA, RR, Lungs C&E ABD: tense, distended, bladder moderate sized and firm U/G: MI, scrotal dermatitis/bruising is worse today MSI: FL wnl, cachexia in HLs, paraplegia with + withdrawal and deep pain but absent CPs, decreased tail and anal tone but there is some tone, healthy clean coat CNS: Mentation appropriate -see above for HLs Assessment: r/o Spinal injury – trauma vs inflammatory vs infection Hemorrhagic urine w/ large bladder – secondary to spinal trauma r/o secondary infection Underweight Mild stress leukogram Scrotal dermatitis Prognosis: Poor to guarded for full return to function Plan: Last day of simbadol today Start clavamox 13.75mg/kg PO BID x10d until 1/9 Express bladder gently BID until 2/4 Apply SSD cream to scrotum BID until 1/30 Rec Nh placement with neurology consult
Details on my behavior are…
Behavior Condition: 2. Blue
KNOWN HISTORY:: Dazz was brought in as a stray, so we cannot speak to his behavior in his previous home.
MEDICAL BEHAVIOR:: 01/27/18 Allows all aspects of exam and handling
ENRICHMENT NOTES:: 01/28/18 Lying in front of kennel, body and face tense. Leans and backs away in an attempt to avoid touch. Limited interaction due to injury. Needs more time to adjust. May be uncomfortable due to medical condition. 01/29/18 Lying in back of kennel body tense and eyes wide. Makes eye contact and flinches when cage door opens. Nervous – doesn’t want to be touched. Limited interaction due to injury. Comes forward for treats – ate all salmon treats offered. Food motivated. 01/30/18 Lying in back of kennel, body slightly tense. He perks up when touched and allows petting along his head and body while leaning in and scooting forward. Very sweet, beginning to warm up. Did well today!
Cage Condition:: Cage is recently cleaned
Reaction to assessor:: Dazz was sprawled out and lying down near the back of the kennel. His ears tilt forward and he lifts his head up to make eye contact.
Reaction when softly spoken to:: Dazz keeps his eyes focused on the assessor and doesn’t get up or comes forward when coaxed.
Reaction to cage door opening:: Dazz remains calm.
Reaction to touch:: Dazz sniffs the assessor’s hand and accepts gentle petting and rubs on his head and along his body. He perks up, leans in for attention and inches forward while giving head butts.
ACTIVITY LEVEL:: Mellow
VOCAL:: Quiet
CHARACTER TYPE: : Calm,Affectionate,Easy going
POTENTIAL CHALLENGES:: None
BEHAVIOR DETERMINATION: : Average
Behavior Asilomar: H – Healthy
RECOMMENDATIONS:: None
BEHAVIOR SUMMARY:: Please note that this cat has a severe medical condition so we may not be seeing any true behavior and behavior may change when the cat’s medical condition improves. Dazz 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.
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