JERRY – 24838

MANHATTAN CENTER

Jerry 24838

Care Center Location: Manhattan

ZIP Code From: 10472

Intake Type: Owner surrender

Medical Behavior: —

Age: 10 years

Sex: Neutered male

Weight: 15 lbs

 

Medical:

10-Apr-2018
Progress Exam
Vet Notes: 2:49 PM

Hx: Surrendered, 3-day hx of vomiting and diarrhea. Grade 3/6 systolic heart murmur was ausculted on yesterday’s exam. CBC/chemistry performed yesterday showed mild azotemia – creat 2.0 and BUN 27 – both WNL but still elevated. Yesterday, pt was given SQF and Cerenia – not started on longer tx.

S: Tense, moves slowly. Allows handling.

O: Depressed. MMs pink. BCS 7/9.
EENT: Moderate tartar and gingival hyperplasia. No ocular, nasal or aural discharge.
H/L: Grade 3/6 systolic heart murmur – PMI left parasternal but quite audible on the right side as well. NSR, NMA. No coughing or sneezing.
Abd: Soft, nonpainful
UG: Male neutered

Chest rads – did not sedate pt due to heart disease; pt was moving slightly and it was difficult to obtain high-quality rads.
Prominent aortic arch.
Enlarged heart on lateral rad. VD is especially difficult to interpret due to rotation and movement, but the heart may be valentine-shaped.
No evidence of pleural effusion or pulmonary edema
Gas in colon
Normal-sized liver

A:
1. Heart murmur and cardiomegaly – suspect HCM

P:
1. Recommend placement with echocardiogram ASAP
9-Apr-2018
DVM Intake
Blood Work Interpretation
Vet Notes: 6:10 PM

DVM Intake Exam

Estimated age: 10yrs. consistent with exam.
Microchip noted on Intake? scanned positive
MC# 9851 2100 4326 937

History : surrendered cat due to housing issues. reported to be vomiting and having diarrhea for 3 days.

Subjective / Observed Behavior – QAR, allowed all handling but tried to flee during PE.

Evidence of Cruelty seen – none
Evidence of Trauma seen – none

Objective
BCS 7/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: dc 1/5, pd 1/5
PLN: No enlargements noted
H/L: 3/6 parasternal murmur ausculted. NSR, CRT < 2, tacky. Lungs clear, eupnic. increased skin tent (possibly due to age)
ABD: Non painful, no masses palpated; no palpable foreign body; small palpable bladder.
U/G: neutered male.
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal on visual exam.

Assessment
heart murmur
vomiting / diarrhea x 3 days – r/o intestinal parasites, giardia, GI foreign body, dietary
dental calculus
periodontal disease
overweight
dehydration

Prognosis:
fair to good

Plan:
LRS SQ 200ml one time.
cerenia 0.68ml SQ
CBC chemistry T4
monitor in medical for vomiting and diarrhea.
food Fast overnight, water ok — for possible sedated radiographs based on rounds DVM impression
rec feeding I/D or bland food once determined to be ok to eat.
rec cardiac work-up once placed

SURGERY:
already altered

CBC / chemistry results — mostly unremarkable.
mild hypophosphatemia
Behavior:

ENRICHMENT NOTES:
Reported vomiting/diarrhea last 3 days. Curled up resting in litter box, soft eyes and body. Looked up when spoken to. Lay in place when door opened, leaned into pets, put head down, closed eyes. Sweet, but seems a little rundown.
Profile:

Basic Information:
Jerry is a male gray tabby that is estimated to be 10 years old. His owner found him 10 years ago as a stray and kept him until she had lost her home and was unable to keep him.
Previously lived with:
1 Adult, 1 Cat
How is this cat around strangers?
Jerry is shy around strangers and will try to hide in the closet until they leave.
How is this cat around children?
Jerry was not around children in his previous home.
How is this cat around other cats?
Jerry lived with another cat in his previous home and was friendly and affectionate with him.
How is this cat around dogs?
Jerry was not around dog in his previous home.
Behavior Notes
Jerry tends to scratch at furniture at home. He does not enjoys being in a carrier and will cry the entire time he is in a car. He enjoys being brushed by hand and not with a brush. He is not bothered by people picking him up and holding him.
Bite history:
Jerry has no history of having bitten another person or animal.
Energy level/descriptors:
Low energy, Friendly, Affectionate.
Has this cat ever had any medical issues?
No
For a New Family to Know
Jerry is an affectionate cat that enjoys following people around the house. He likes to play with other cats and will chase them around or will tumble around with his stuffed toys. He is used to being indoors all day and eats both wet and dry food. He is litter box trained and uses uses an uncovered litter box. Hes tends to scratch at furniture at home.

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