DUBAI – 23192
Safe - 3-22-2018 Manhattan Rescue: Cypress Feline Rescue Please honor your pledges: https://www.paypal.me/Cypressfelinerescue
SAFE 3/22/18 Little Tuxedo Boy Dubai was Hit By a Car and needs your help @MACC. Pull this friendly boy from MACC!!
23192 Dubai 1y Black/White Male 8lbs.
Intake: Stray 3/18/18
Vet Notes: 12:51 PM
Hx: HBC, S2-S3 dislocation and wound to RHL and ventral tail.
S: Alert, walks around, allows all handling.
O: BAR-H, MMs pink and moist
EENT: No discharge OU, AU, nose.
H/L: Eupnic, not ausculted today
Abd: Soft, no pain on palpation, no masses palpated
M/S/I: Bandage in place on RHL – dry and clean. Partial thickness wound to ventral tail is unchanged from 2 days ago, but swelling in the prox tail has decreased. Amb x4, no lameness or ataxia noted
UG: Male intact
Neuro: Alert and appropriate, no sign neurological deficiencies
1. S2-S3 luxation – pt has very good motor function!
2. Wound to RHL – bandaged
3. Wounds to ventral tail – healing well
Short-term prognosis: Good
1. Change bandage on RHL
2. Continue medications as scheduled
L V T Notes: 1:21 AM
gave 0.5ml of simbadol sq from bottle#76 at 9 pm
L V T Notes: 1:05 PM
Sedated with 0.2ml Dexdomitor and 0.2ml Butorphanol from bottle #4 at 12:40pm. Removed bandage from the RHL and flushed with saline and dilute chlorhexidine. Rewrapped bandage after applying SSD cream. Reversed dexdom with 0.1ml antiseden IM.
Vet Notes: 1:04 PM
Presented after suspect hit by car trauma with wounds to tail base and RH; radiographs showed luxation of S2/S3 vertebrae; started on clavamox, simbadol and onsior
-QAR, docile and affectionate, allows all handling
-mm pk, sl tacky
-small abrasion/superficial laceration along R side of lip
-broken toenails on front feet with mild irritation of digital pads
-no nasal discharge or sneezing
-OU: open and clear
-eupnic, clear lungs, no murmurs/arrhythmias
-strongly ambulatory with mild to moderate paraparesis, crouched gait in hind limbs
-mild to moderate swelling at tail base
-good anal tone
-partial thickness road rash/ulcerative abrasion along ventral tail starting at tail base and extending for approx 1/2-1/3 tail length
-bandage clean and intact on RH, edematous swelling of distal paw; removed bandage under sedation; degloving injury present along medial aspect of R tarsus with exposure of underlying musculature with only minimal purulent discharge; otherwise appears clean
1. S2/S3 luxation
2. Degloving injury to RH
3. Road rash tail
-sedated with 0.2 ml torb/0.2 ml dexdomitor for bandage change
-rec’d bandage change in 2 days or sooner if begins to slip or becomes wet/dirty
-given how well he is doing clinically today, it is likely that he will not require surgical stabilization of vertebral luxation but will require crate rest for 4-6 weeks; would also benefit from cold laser therapy +/- acupuncture
-suspect he can do well long term in the right household
Vet Notes: 7:05 PM
Hydromorphone and Dexdomitor given around 6:10pm.
-After this, it was noted that pt had received Simbadol earlier today.
Lateral and VD whole-body rads revealed open physes of the tibial tuberosities – suspect pt is ~1 year old.
-Dislocation/fracture at S2-S3 joint, partially displaced
-Decreased joint space at C2-C3, C3-C4, C4-C5, C5-C6, C6-C7, and severe soft tissue swelling in this region
-Subjectively increased opacity in the right cranial lung field
Further observations were made after pt was sedated:
-The nails on both front feet are heavily abraded
-There is a 10 cm full-thickness laceration on the medial aspect of the right metatarsals with mild swelling, mild bleeding, some small specks of debris visible inside the wound. The underlying muscles and tendons are visible.
-There are no injuries to the left hock; the blood there is likely due to contact with the right hock
-The proximal tail is severely swollen and there is a 10-20 cm long partial-thickness laceration along the ventral aspect of the proximal tail. The surrounding skin is alopecic and erythematous, slightly edematous. The wound is bleeding slightly.
-There is a 4 cm linear superficial abrasion to the scrotum.
-The anus is not injured
Neuro: Good anal tone. Good deep pain sensation and good flexor pain withdrawals in both hind legs.
1. Dislocation at S2-S3 – but nerve function in hind legs and anus appears to be preserved
2. Decreased disc space in proximal tail vertebrae indicates possible slipped discs
3. Full-thickness laceration on right hind leg, along the metatarsals
4. Laceration along ventral tail
5. Abrasions to tail and scrotum
6. Possible lung contusion
Prognosis: Fair to poor
1. Lavaged RHL lesion with LRS and bandaged with SSD.
2. Placed a soft splint on the proximal tail to prevent the wounds from getting contaminated by feces or urine, and provide some structural support
3. Continue Simbadol 0.5 ml SQ SID x7 days – next due tomorrow evening
4. Onsior 0.35 ml SQ SID x3 days
5. Clavamox 1 ml PO BID x7 days
6. Monitor motor function in hind legs and neuro function of HLs, tail and anus
7. Consider surgical closure of RHL injury tomorrow or the following day – delayed primary closure
Vet Notes: 6:14 PM
DVM Intake Exam
Estimated age: Estimated 1-2 years based on dentition and overall impression
Microchip noted on Intake? Scanned negative
History : Transferred to MACC from SIACC – suspected HBC and there is no doctor there today
Subjective: Sits still, head wavers slightly
Observed Behavior – Stiff body but allows handling. No vocalizing even when I touch his tail which appears broken.
Evidence of Cruelty seen – None
Evidence of Trauma seen – Blood on tail and hind legs, large swollen region of tail
P = 188
R = 60
EENT: Small oozing scab on upper and lower lips at the left maxillary canine. Eyes clear, ears clean, no nasal or ocular discharge noted.
Oral Exam: Clean adult teeth.
PLN: No enlargements noted
H/L: Tachypneic, tachycardic. NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Not distended, no masses palpated.
U/G: Male intact.
MSI: No injuries noted to front legs. Did not allow pt to walk around to test hind legs, but no fractures obvious from external exam. Blood on both hocks. Large swelling at the level of the 3rd or 4th caudal (tail) vertebrae – the ventral aspect of the tail is swollen, erythematous and bloody.
CNS: Dull mentation.
Rectal: Normal externally
1. Suspected tail fracture
2. Concern for pelvic fracture
3. Concern for hock wounds – did not examine closely as I plan to sedate pt regardless of hock injuries
4. Lip wounds secondary to blunt trauma
1. Sedate with hydromorphone 0.2 ml and Dexdomitor 0.05 ml IM
2. Lateral and VD rads of chest, abdomen and tail
Temporary waiver due to trauma
L V T Notes: 4:09 PM
Male ~ 3 Y/O
The cat is a possible hit by car- has abrasions under RHL and under tail by the scrotum area
Could not put weight on RHL
Redness on the Eye Seen.
As per Dr 1416
Give Pain Medication
Simbadol 0.5 ml S/Q Given
Send to MACC to do X Ray and DVM exam.
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View all entries in: Safe Cats 2018-03