FROSTY – A1117840
Safe - 7-13-2017 Manhattan Rescue: Staten Island Hope Please honor your pledges: http://www.statenislandhopeanimalrescue.org/
SAFE 7/13/17 – Frosty is a senior cat that may need some extra TLC @MACC. 10 year old Frosty was abandoned at the shelter. She is friendly and loves to be pet. Frosty needs someone to adopt her and give her some TLC and good food so she can gain weight.
MANHATTAN CENTER
FROSTY – A1117840
FEMALE, FLAME PT, DOMESTIC SH,10 yrs
STRAY – STRAY WAIT, NO HOLD Reason ABANDON
Intake condition GERIATRIC Intake Date 07/07/2017, From NY 10462, DueOut Date 07/10/2017,
Medical Behavior Evaluation GREEN
Medical Summary S/O: BAR mod dehydrated EENM: MM PINK AND MOIST, CRT 2 SEC EENM: CV: NO MURMURS OR ARRHYTHMIAS LUNGS: CLEAR ABD: SOFT AND NONTENDER MS/INTEG: AMB X 4, BCS 2/9 emaciated, covered in loose stools mild thyroid slip NS: lateral nystagmus and ventral medial strabismus, placing reactions wnl PLN: NSF GU: F A: Thyroid slip r/o hyper T4 Diarrhea Fleas ++ Emaciated Vestibular disease – peripheral P: move to medical , start CBC/CHEM/ T4, IV fluids
Weight 5.2
Medical:
Re-exam (7/10/17)
Hx: stray admitted 7/8, severely dehydrated, emaciated
CBC: HCT 18 in face of severe dehydration (r/o anemia of chronic dz), neutrophilia 30K monocytosis 2K r/o chronic and active inflammation (inx vs autoimmune)
Chem: hyperNa 168, low crt,
T4 WNL
Started treating with IVF, doxycycline and pet-tinic; fluids d/c overnight; good appetite
S/O
BAR, interactive, allows handling
mm pale pk, sl tacky
no nasal discharge or sneezing noted
purring intermittently but no obvious murmur noted
abdomen soft, nonpainful, doughy; intestines very thickened and slightly fluid filled on palpation
copious amount of flea debris
severe diffuse muscle wasting
A:
diffuse muscle wasting-r/o paraneoplastic vs IBD vs infectious vs other
anemia-r/o paraneoplastic vs infectious vs chronic dz vs flea anemia vs other
leukocytosis-r/o paraneoplastic vs infectious vs chronic dz vs other
GI thickening-r/o lymphoma vs IBD vs chronic parasites vs other
Flea debris
P:
0.5 ml dexamethasone (2 mg/ml) IV
0.5ml Petinic PO BID x5d
100ml LRS SQ BID x 3d
0.5ml DOxycycline PO SID x 14d
rec’d rechecking CBC in 7 days
needs further diagnostics such as AUS, CXR to definitively diagnosis underlying dz; concern for underlying neoplasia
Re-exam (7/9/17)
Hx: stray admitted 7/8, severely dehydrated, emaciated
CBC: HCT 18 in face of severe dehydration (r/o anemia of chronic dz), neutrophilia 30K monocytosis 2K r/o chronic and active inflammation (inx vs autoimmune)
Chem: hyperNa 168, low crt,
T4 WNL
IVC placed, started at 4ml/hr
S: sweet, interactive, allows full exam, eating well, IVC patent at 4ml/hr, excellent appetite
O:
persisitent skin tenting
EENT: no discharge AU/OU/nares, iris atrophy OU
Oral: dental tartar and calculi
Int: rough haircoat, flea dirt, thickned brittle nails
Lnn: WNL
CV: NMA, s&s pulses, pink moist mm
Resp: clear lungs, eupnic
Abd: SNP, doughy loops of SI, colon not palpable
UG: female, no mammary or vulva development, no obvious spay scar
MS: 4x ambulatory, BCS 2/9, generalize mm atrophy
Neuro: BAR, no obvious neuro deficits, complete neuro exam not performed
A:
emaciation
nonregenerative anemia r/o chronic dz vs other
active and chornic inflammation (r/o RBC in x vs other inx vs autoimmune vs other)
dehydraiton vs loss of SQ adipose
P:
discont IVF
0.5ml Petinic PO BID x5d
100ml LRS SQ BID x 3d
0.5ml DOxycycline PO SID x 14d
Re-exam (7/8/17)
addendum
DVM intake palpable thyroid slip, dehydrated, getriatric, brought to medical for CBC/Chem?T4 and IVC
CBC: HCT 18 in face of severe dehydration (r/o anemia of chronic dz), neutrophilia 30K monocytosis 2K r/o chronic and active inflammation (inx vs autoimmune)
Chem: hyperNa 168, low crt,
T4 WNL
IVC placed, started at 4ml/hr
eating well
DVM Exam (7/8/17)
S/O: BAR mod dehydrated
EENM: MM PINK AND MOIST, CRT 2 SEC EENM:
CV: NO MURMURS OR ARRHYTHMIAS
LUNGS: CLEAR
ABD: SOFT AND NONTENDER
MS/INTEG: AMB X 4, BCS 2/9 emaciated, covered in loose stools mild thyroid slip
NS: lateral nystagmus and ventral medial strabismus, placing reactions wnl
PLN: NSF
GU: F
A:
Thyroid slip r/o hyper T4
Diarrhea
Fleas ++
Emaciated
Vestibular disease – peripheral
P: move to medical , start CBC/CHEM/ T4, IV fluids
Behavior:
KNOWN HISTORY:
Frosty was brought in as a stray so we cannot speak to her behavior in her previous home. During intake, she was very social and allowed all handling.
MEDICAL BEHAVIOR:
Allowed all handling, friendly and enjoys petting.
EVALUATION:
Cage Condition: Cage is neat
Reaction to assessor: Frosty is at the front on approach, soft eyes and body, eating wet food.
Reaction when softly spoken to: Frosty meows quietly and starts to purr.
Reaction to cage door opening: Frosty remains calm and relaxed.
Reaction to touch: Frosty leans and arches into the stroke, and continues to purr.
Reaction to being picked up: Frosty sits calmly in the assessor’s arms and looks around.
ACTIVITY LEVEL: Mellow
VOCAL: Quiet
CHARACTER TYPE: Sweet, Calm, Affectionate
BEHAVIOR SUMMARY: Beginner
Frosty interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
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