ECLIPSE – A1122762
Safe - 8-25-2017 Manhattan
SAFE 8/25/17 **FELV POSITIVE** ECLIPSE was brought in with a wound on his left hock. He is also possibly missing his an eye. Needs a home where he can get follow up vet care.
MANHATTAN CENTER
**FELV POSITIVE**
ECLIPSE – A1122762
MALE, BLACK, DOMESTIC SH MIX,3 yrs
STRAY – EVALUATE, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 08/21/2017, From NY 10472, DueOut Date 08/24/2017,
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: 3-4 years based on secondary sex characteristics and dentition Microchip noted on Intake? Scanned neg History : Stray, finder has seen this cat for about a month, but couldn’t catch until now Subjective: Tense, sits on table and allows handling. Alert. Evidence of Trauma seen – Missing eye/microphthalmia, wound on LHL Objective BAR-H, MMs pink, BCS 4.5 EENT: OD: Phthisis bulbi, well-developed third eyelid, moderate mucoid crusty discharge. OS WNL, no discharge. Ears clean, no nasal discharge noted Oral Exam: Clean teeth, no gingivitis PLN: No enlargements noted H/L: NSR, NMA, Lungs clear, eupnic ABD: Slightly tense, non painful, no masses palpated U/G: Male intact, testicles S/S MSI: 1-2 cm ulcerated wound on plantar aspect of left hock – some crusting skin around the edges. Ambulatory x 4, skin free of parasites, healthy hair coat. CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: Normal externally. Small amount of diarrhea on anus. Assessment 1. Phthisis bulbi OD – possibly secondary to infection vs. trauma vs. other, some active discharge now 2. Wound on left hock 3. Evidence of diarrhea 4. FeLV positive Plan 1. Clean right eye lids and apply erythromycin BID x5 days, consider enucleation vs. no long-term treatment 2. Clean hock wound with chlorhexidine SID x5 days 3. Clavamox 62.5 mg/ml 1 ml PO BID x7 days, extend if hock wound isn’t healing well Prognosis: Good SURGERY: Okay for surgery 1088
Weight 9.9
8/22/17
Medical Behavior Evaluation BLUE
Medical Summary Hx: Felv positive, microophthalmia OD; current treatments clavamox and erythromycin S/O good appetite QAR, hiding/shy in back of cage; allows gentle handling but starts hissing and regressing after a short time mm pk, sl tacky; CRT <2 sec no nasal discharge OS-mild epiphora OD-microopthalmia/possibly missing eye did not allow auscultation today wound on L hock has granulation bed forming and crusting discharge but no active discharge A Felv microopthalmia OD wound P CWCT rec’d enucleation after placement prognosis: good
Weight 9.9
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View all entries in: Safe Cats 2017-08