LAURYN – A1123387
Safe - 8-29-2017 Brooklyn
SAFE 8/29/17 This gorgeous gal needs follow up medical care for her pelvic fracture and luxated coxofemoral joint. 6 month old Lauryn was brought in as a stray. She was uncomfortable when hind limbs were touched and should get some further vet check on that. Needs a home.
BROOKLYN CENTER
LAURYN – A1123387
FEMALE, BRN TABBY, DOMESTIC SH MIX,6 mos
STRAY – EVALUATE, NO HOLD Reason STRAY
Intake condition UNSPECIFIE Intake Date 08/26/2017, From NY 11236, DueOut Date 08/29/2017,
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: 6 months Microchip noted on Intake? n History : stray Subjective: patient is BAR, seemed slightly uncomfortable when hind limbs/pelvis was touched Observed Behavior – allowed all handling except when hind limbs where manipulated. Evidence of Cruelty seen – n Evidence of Trauma seen – y Objective P = 200 R = 34 BCS – 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: wnl PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female MSI: skin free of parasites, no masses noted, healthy hair coat MS – crepitation to left hind limb at coxofemoral area CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment – r/o fracture vs luxation Plan – sedation and xray Prognosis: fair SURGERY: Temporary waiver due to radiograph results
Weight 5.0
Medical::
08/26/17:
DVM Intake Exam
Estimated age: 6 months
Microchip noted on Intake? n
History: stray
Subjective: patient is BAR, seemed slightly uncomfortable when hind limbs/pelvis was touched
Observed Behavior – allowed all handling except when hind limbs where manipulated.
Evidence of Cruelty seen – n
Evidence of Trauma seen – y
Objective
P = 200 R = 34 BCS – 5/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: wnl
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: female
MSI: skin free of parasites, no masses noted, healthy hair coat
MS – crepitation to left hind limb at coxofemoral area
CNS: mentation appropriate – no signs of neurologic abnormalities
Rectal: not performed
Assessment – r/o fracture vs luxation
Plan – sedation and xray
Prognosis: fair
SURGERY: Temporary waiver due to radiograph results
Sedation – 0.05 ml Telazol IM
Radiograph findings
– complete luxation of the left coxofemoral joint
– fracture of pubis symphasis
Gave Simbadol 0.3ml SQ
08/27/17:
Cage exam-reassess pain
History : Intake 8/26-left coxofemoral luxation and fracture of pubic symphysis
Subjective: BARH
Objective
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: wnl
PLN: No enlargements noted
H/L: No coughing or sneezing, not ausculted
ABD: Non painful, no masses palpated
U/G: female
MSI: skin free of parasites, no masses noted, healthy hair coat
MS – ambulatory x4 with LHL lameness, did not perform full ortho exam due to pain
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment –
Left coxofemoral luxation and fracture of the pubic symphysis
Plan – Continue simbadol 0.24mg/kg SQ SID
Recheck pain daily
Rec sedation and reduction of luxation vs FHO vs amputation
Prognosis: excellent
08/28/17:
Cage exam-reassess pain
History : Intake 8/26-left coxofemoral luxation and fracture of pubic symphysis
Subjective: BARH, purring
Objective
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: wnl
PLN: No enlargements noted
H/L: No coughing or sneezing, not ausculted
ABD: Non painful, no masses palpated
U/G: female
MSI: skin free of parasites, no masses noted, healthy hair coat
MS – ambulatory x4 with LHL lameness, did not perform full ortho exam due to pain
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment –
Left coxofemoral luxation and fracture of the pubic symphysis
Plan – Continue simbadol 0.24mg/kg SQ SID x5d
Recheck pain daily
Rec sedation and reduction of luxation vs FHO vs amputation
Prognosis: excellent
Enrichment::
08/27/17:
Comes forward. Allows petting along head and body, rolling over onto kennel floor. Pulls my hand closer and gently nips it. Continues to roll and lean in for petting. Playful and friendly, has a lot of energy. Can become overstimulated and nip, but bites are gentle and do not hurt. Doesn’t break glove. Doing well! Beautiful coat.
Profile::
08/26/17:
Stray, allowed all handling. had a very soft body allowed her picture to be taken.
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View all entries in: Safe Cats 2017-08