FRED – 14501
Publicly Adoptable - 11-29-2017 Brooklyn Rescue: Staten Island Hope Please honor your pledges: http://www.statenislandhopeanimalrescue.org/donate
***SAFE 11/29/17***MIDDLE AGED TERRIFIC TABBY NEEDS FOLLOW UP VET CARE ASAP*Introducing Attention-Seeking Tabby Gentleman Fred! @BACC *FRED is a friendly guy that is Underweight With Head Trauma & An Abscess — NEEDS LOTS OF YOUR TLC NOW!**DON’T FORGET WHEN YOU FOSTER, ALL REASONABLE MEDICAL EXPENSES ARE COVERED. LET’S GIVE FRED THE CHANCE FOR A HAPPY LIFE. ONLY HAS TIL NOON TOMORROW!
Brooklyn Center
Hello, my name is Fred. My animal id is #14501. I am a desexed male black tabby cat at the Brooklyn Animal Care Center. The shelter thinks I am about 8 years old. – P
I came into the shelter as a aco impound on 24-Nov-2017.
Fred was placed at risk due to his medical condition, Fred has a wound on his head and will benefit from placement as soon as possible.
My medical notes are…
Weight: 7.8 lbs
DVM Intake Exam Estimated age: ~8yrs Microchip noted on Intake? no History : stray, left ear tipped Subjective: QAR. ~5-8% dehydration Observed Behavior – Calm, allows all handling Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective P = WNL R = WNL BCS 3/9 EENT: significant swelling around both eyes, conjunctivitis OS, unable to visualize eye, right eye clear, ears clean, no nasal discharge noted Oral Exam: missing all teeth, pink mm PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, enlarged kidneys U/G: neutered MSI: Ambulatory x 4, skin free of parasites, no masses noted, soft swelling and scabbing over entire dome of head – negative FNA, small amount of purulent discharge around needle CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: R/O head trauma with abscess formation at top of head; underweight, dental disease, diarrhea Plan: Blood work pending. Rec LRS 100ml SQ, simbadol 0.45ml SQ, clavamox 0.9ml PO, metronidazole 0.4ml PO- first dose given on each Prognosis: Fair
CBC – Mild to moderate non-regenerative anemia, marked leukocytosis characterized by a moderate to marked neutrophilia, mild lymphocytosis, mild monocytosis. Moderate thrombocytopenia (platelet clumping reported) Chemistry – BUN, TP, Tbili mildly elevated A: Mild anemia, inflammatory leukogram, mild azotemia, likely pre-renal P: Adding onsior 0.35ml SQ q24 x 3 days
Recheck overall condition, appetite S/O: Q/BAR. ~5-8% dehydration. Food untouched. Small amount of urine in litter. BCS 3/9 Allows handling, attention seeking but resents exam of face/head EENT: Missing all teeth, pink mm, no oral fractures observed, marked swelling of eyes and nose, conjunctivitis OS, difficult to visualize globes OU, no ocular or nasal discharge HL: Stertorous breathing, normal heart and lung sounds ABD: Soft, non tender INTEG: Scabbing over entire dome of head, left ear tipped MS: Ambulatory x 4, underweight, missing distal 1/3 of tail, unkempt hair coat UG: Neutered NEURO: Mentally appropriate A: traumatic injury to head – possible skull fracture. blood work from 11/24 shows mild non-regenerative anemia, marked leukocytosis characterized by a marked neutrophilia, mild increases in BUN and tbili P: Continue with simbadol, onsior, clavamox, adding baytril 0.18ml IM, place IVC and run LRS at 14ml/hr. Scheduled skull radiographs. Fair prognosis
Progress exam History: Intake 11/24-possible head trauma/abscess on head. Started on LRS, simbadol, clavamox, metronidazole. CBC – Mild to moderate non-regenerative anemia, marked leukocytosis characterized by a moderate to marked neutrophilia, mild lymphocytosis, mild monocytosis. Moderate thrombocytopenia (platelet clumping reported) Chemistry – BUN, TP, Tbili mildly elevated FNA of swelling on top of head-small amount of purulent d/c, no other findings 11/25: placed IVC and started on IVF, onsior, baytril. S: QAR, ~7-8% dehydrated. Eating well and no c/s/v/d noted but does have nasal congestion and d/c. Objective P = WNL R = WNL BCS 3/9 EENT: significant swelling around both eyes, conjunctivitis and chemosis OU with purulent d/c, ears have moderate brown/black waxy and crusty debris, purulent nasal d/c bilaterally, left ear tipped Oral Exam: missing all teeth, pink mm, no oral ulcers PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4, skin free of parasites, no masses noted, soft swelling and scabbing over entire dome of head with moderate purulent d/c, dirty haircoat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: R/O head trauma with abscess formation at top of head URI Underweight Dental disease Diarrhea Non regenerative anemia Inflammatory leukogram vs infection Azotemia Plan: Sedate with telazol 0.1ml IM for rads and PE 2 view skull radiographs-very large soft tissue swelling on top of skull with emphysema but no fractures of skull 2 view CXR-nsf Clip and clean wound on top of head-flush out wound Clean ears Start tresaderm AU BID x14d until 12/10 Continue Metronidazole until 11/29 Continue Clavamox until 12/3 Start IVF ~90ml/kg/day during the day Extend simbadol 0.24mg/kg SQ SID x3d until 11/29 D/c onsior due to dehydration and azotemia Continue baytril until 11/29 Continue erythromycin until 12/1 Remove drain 11/30 Prognosis: Fair to poor
Penrose Drain Placement Patient was intubated, anesthetized and maintained on 2 % Isoflurane and 2 O2. The head and dorsal neck area was clipped and prepped aseptically. The patient was maintained on a fluid rate of 15 mL/hr LRS IV. The fluid filled mass on top of the head was drained via a small puncture site (Approx. 2-3 mm in diameter) just caudal to the right ear that was already present prior to treatment and outside of the margins of the eschar. The opening was bluntly dissected further and the full extent of the head wound was explored. Approx. 30-40 mL of thick, yellow, purulent discharge was exuded. The wound was explored with hemostats and deep pocketing was probed cranially to the most cranial portion of the ear bases bilaterally, and laterally to the caudal aspect of the left ear. Pocketing also extended ventrally to the caudal base of the right ear pinna. The wound was flushed copiously with sterile saline. Using a #10 scalpel blade, an incision was made caudoventral to the opened wound and a penrose drain was tact to the skin using 3-0 PDS II, then followed dorsocranially and tact through another incision just adjacent to the cranial left ear base. The patient recovered from anesthesia uneventfully.
Progress exam History: Intake 11/24-possible head trauma/abscess on head. Started on LRS, simbadol, clavamox, metronidazole. CBC – Mild to moderate non-regenerative anemia, marked leukocytosis characterized by a moderate to marked neutrophilia, mild lymphocytosis, mild monocytosis. Moderate thrombocytopenia (platelet clumping reported) Chemistry – BUN, TP, Tbili mildly elevated FNA of swelling on top of head-small amount of purulent d/c, no other findings 11/25: placed IVC and started on IVF, onsior, baytril. 11/26: was anesthetized for wound treatment (see wound treatment report). ~40ml purulent debris was flushed out of wound and 2 drains were placed. 2 view skull radiographs-very large soft tissue swelling on top of skull with emphysema but no fractures of skull 2 view CXR-nsf S: QAR, ~5% dehydrated. No c/s/v/d noted but does have nasal congestion. Not interested in food. E-collar in place. Is generally more difficult to handle today and more resistant to touch. May be uncomfortable with e-collar and drains. Objective BCS 3/9 EENT: mild swelling around both eyes, conjunctivitis and chemosis OU with thick mucoid d/c, PLRs decreased but is on simbadol, + menace, serous nasal d/c bilaterally, left ear tipped PLN: No enlargements noted H/L: Eupneic, congested ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4, skin free of parasites, no masses noted, scabbing over entire dome of head with 2 drains in place, no active d/c, significantly less swelling than yesterday, dirty haircoat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: R/O head trauma with abscess formation at top of head-improving URI Underweight Dental disease Diarrhea Decreased appetite Non regenerative anemia Inflammatory leukogram vs infection Azotemia Plan: Continue tresaderm AU BID x14d until 12/10 Continue Metronidazole until 11/29 Continue Clavamox until 12/3 Start IVF ~60ml/kg/day during the day Continue simbadol 0.24mg/kg SQ SID until 11/29 Continue baytril until 11/29 Continue erythromycin until 12/1 Remove drain 11/30 Prognosis: Fair
Details on my behavior are…
Behavior Condition: 1. Green
KNOWN HISTORY:: Fred was brought in as a stray, so there is no information on their behavior history or tendencies in a home environment. The finder was unable to handle him during the time of pick up.
MEDICAL BEHAVIOR:: Observed Behavior – Calm, allows all handling
Cage Condition:: Cage is slightly re-arranged
Reaction to assessor:: Fred was lying down by the back and had a neutral body posture.
Reaction when softly spoken to:: Fred makes eye contact with the assessor with his ears tilted sideways.
Reaction to cage door opening:: Fred remains motionless.
Reaction to touch:: Fred allows petting and shifts his body slightly during the interaction. He shifts his body back to his original position and relaxes a bit after being pet. He blinks softly and doesn’t seem to mind attention.
Reaction to being picked up:: Did not attempt due to medical condition.
ACTIVITY LEVEL:: Mellow
VOCAL:: Quiet
CHARACTER TYPE: : Calm,Independent
POTENTIAL CHALLENGES:: None
BEHAVIOR DETERMINATION: : Average
Behavior Asilomar: H – Healthy
BEHAVIOR SUMMARY:: Please note that this cat is being treated for a medical condition at the time of evaluation. It is difficult to determine at this time how the medical condition may be affecting the behavior. Fred 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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