FREDDY – 17617
Safe - 1-9-2018 Manhattan Rescue: F.A.C.T Please honor your pledges: PayPal address: [email protected]
SAFE 1/9/18 Poor little Freddy was injured when he was caught in a car engine most likely trying to stay warm!! He has multiple injuries – a possible fracture, a wound on his back and needs urgent medical care. Freddy also has a URI and is underweight. He allows handling and has a ravenous appetite. Can someone foster this frightened baby so he can get the care he needs and recuperate??
MANHATTAN CENTER
Freddy 17617
Care Center Location: Manhattan
ZIP Code From: 10459
Intake Date: 1/3/18
Intake Type: Stray
Medical Behavior: Blue
Age: 4 months
Sex: Male
Weight: 2 lbs 6 oz
DVM Intake Exam
Estimated age:4 months
Microchip noted on Intake?placed on LVT intake
Microchip Number (If Applicable):
History :reportedly was caught in a car engine
Subjective:QAR
Observed Behavior -slightly unsocialized, regressed and hissed once when approached but then was docile and allowed handling; ravenous appetite
Evidence of Cruelty seen -n
Evidence of Trauma seen -LF lameness, large wound over dorsum
Objective
BCS 3.5/9
EENT:
-OU: moderate blepharospasm, mucoserous discharge, elevated 3rd eyelid
-mild mucoid crusting discharge along nares
-AU: greasy discharge along pinna, minimal brown waxy discharge in canals
Oral Exam:mm pk/lgt pk, tacky; deciduous canines
PLN: No enlargements noted
H/L: no murmurs or arrhythmias, eupnic, clear lung sounds
ABD: soft, doughy, nonpainful; no palpable abnormalities
U/G: male intact
MSI:
-LF: partial weight bearing lameness, paresis; external rotation of limb, uses dorsal aspect of carpus to bear weight
-superficial ulcerative wound along palmar aspect of LF carpus and ulceration of main paw pad
-large area of alopecia along L caudal dorsum extending on to tail with large, superficial ulcerative wound that is healing well with healthy granulation tissue and no active discharge; wound appears 7-10 days old
–
CNS: Mentation appropriate; RF paresis, absent proprioception and withdrawal
Rectal:grossly normal, good tone
Assessment
1. LF lameness, paresis-suspect concurrent ulnar fracture and nerve damage, possible brachial plexus avulsion
2. URI/conjunctivitis-r/o secondary to being in car engine vs viral vs bacterial
3. Wound on dorsum-r/o burn vs road rash vs other; does not appears to be consistent with bite wound
4. Underweight
Prognosis:fair to good
Plan:
-sedated with 0.1 ml ketamine/0.1 ml dexdomitor/0.1 ml torb IM for radiographs
-gave 0.1 ml convenia SQ
-gave 50 ml SQF
-gave 0.1 ml cerenia SQ
-onsior 0.1 ml SQ SID x 3 days, first dose given
-did not realize patient had simbadol overnight, gave additional 0.1 ml SQ, continue SID x 4 days
-continue doxycycline, erythromycin
-suspect nerve damage along with fibular fx, amputation may be best curative option
SURGERY: temp waiver due to URI/underweight
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View all entries in: Safe Cats 2018-01
