JUDE – 32120

Brooklyn Center

FIV POSITIVE 

Jude 32120, 8-10 Years Old, Black DSH, Stray 06/23/18

Medical:

32120
Jude
Cat
Yes
Black
None
Male

Spayed / Neutered
Age
Primary Microchip #
Rabies Tag
Weight
Spay / Neuter Due Date
Temperature

No
10 Years

9 lbs 8.32 oz

Veterinary Clinic Software Record #:
Weight:   9 lbs 8.32 oz

Incoming Agency: Animal Care Centers of NYC
Date of Weighing:   6/23/2018

Date Spayed / Neutered:
Schedule Surgery Date:

Stitches Removal Date:

Clinic Name:

Previously Spayed / Neutered:    No

General Vet Notes:

Previous Medical Details:

Known Allergies or Medical Conditions:

Feeding Requirements:

 

Indemnities/Waivers:

 

Medical Notes
Notes
Date
No Medical Notes Stored

Vet Treatments
Date Administered
Vet Treatment Type
Treatment Result
Administered by External Vet
6/23/2018
Re-weigh

6/23/2018
Microchip Implantation

6/23/2018
Rabies

6/23/2018
Internal Parasite Treatment – Pyrantel

6/23/2018
Fvr-Cp 1 Of 2

6/23/2018
Flea/Tick Treatment – Paradefense

6/23/2018
FeLV/FIV Snap
Positive for FIV

Vet Treatments Due
Date Due
Vet Treatment Type
7/7/2018
Fvr-Cp 1 Of 2
7/7/2018
Internal Parasite Treatment – Pyrantel
7/7/2018
Re-weigh
7/23/2018
Flea/Tick Treatment – Paradefense
6/23/2019
Rabies

Medications
Medication
Amount Dispensed
Frequency
Date From
Date To
Doses Administered
Vet Name
Reason
Notes
Nebulize with saline
1 ml
1, 2 times every 1 day(s)
23-Jun-2018
30-Jun-2018
1
VET

Nebulize with saline for 10-15 min twice a day
Doxycycline Suspension 50 Mg/ml
9 ml
0.9ml PO every 1 day(s)
23-Jun-2018
2-Jul-2018
1
VET

Give 0.9ml PO SID

Drug Usage
No drugs administered to this animal.

Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
23-Jun-2018
Spay-Neuter Waiver Documentation
Vet Notes: 2:10 PM

[Spay/Neuter Waiver – Age]

It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.
VET

23-Jun-2018
DVM Intake
Blood Work Interpretation
Vet Notes: 2:04 PM

***FIV+***
[DVM Intake]
DVM Intake Exam

Estimated age: 8-10 years
Microchip noted on Intake? No
Microchip Number (If Applicable):

History : Stray- noted to not be walking

Subjective: QARH. No csvd

Observed Behavior – Nervous, hissed once, but able to do full exam

Evidence of Cruelty seen – no

Evidence of Trauma seen – no

Objective
P = wnl
R = wnl
BCS 5/9

EENT: Mild serous ocular discharge OU, ears clean, mild serous nasal discharge
Oral Exam: Severe dental/periodontal disease
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, mild to moderate stertor l Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: intact male with two descended testicles, no discharge
MSI: Ambulatory x 4, skin free of parasites, ~ 2-3 cm in diameter semi-firm mass on forehead; mildly roughened haircoat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally

CBC: unremarkable
Chem: Glob 5.9 (mild elevation)
T4: normal

Assessment
1) possible URI- though with mass, cannot r/o inner nasal disease (allergic rhinitis, neoplasia)
2) Mass on head- r/o benign (cyst, abscess) vs malignant
3) FIV+

Prognosis: guarded (due to FIV+ and depending on what mass is)

Plan: Move is isolation
Given Convenia 8mg/kg SQ once
Start doxycycline 10 mg/kg PO SID x 10 days
Start nebulization BID x 7 days
Recommend NH placement- recommend biopsy of mass +/- CT of head

SURGERY:
Permanent waiver due to age, URI

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