LIZZY – A1082750

Brooklyn Center

Lizzy, A1082750 – 4wks – Female – Stray

7/26/16 15:00

S-brought to medical as “seizure”. episode of patient’s head back, eyes closed, tremors noted

O-disoriented on initial, pink mm, hydrated, eating food well

EENT-closed OD with d/c OU (OD>OS), CAU, serous nasal d/c

PLN-all wnl

H/L-no m/a, clear and eup

GI-negative oral, SNP

GU-FI, nsf

MSI-BCS 2.5/5, amb x 4 with ataxia, unkempt haircoat

Neuro-disoriented on initial and did become brighter with continued stimulation, slow menace on initial, but pupils were dilated, amb x 4 with cerebellar ataxia, intermittent tremors of hindlimbs and head throughout exam

A-4 wo FI DSH

1. cerebellar ataxia

2. suspect seizure episode

3. URI

P-BG=246 mg/dl

keep in medical for monitoring of seizures. if seizures seen, administer 0.1 ml diazepam rectally

start amoxiclav and erythromycin

prognosis good if episode seen was related to cerebellar hypoplasia.

Scanned negative

Arrived “seizuring” according to Admissions personnel. “Eyes rolled up, body stiff and shaking”

When arrived in medical animal presented with legs shaking, head thrown back against neck.

BG: 248

Temp 98.5

Panleukopenia negative

Calmed quickly, but head still “wobbly” and falling over-more typical of CH.

Was able to eat small amount of wet food.

F~ 4 weeks

Underweight for frame.

Ears, throat clear

Eyes – right eye cloudy spot over cornea, slightly crusty around both eyes, clear discharge

Nose – yellow/white nasal discharge and mild sneezing. Began Eryc oint and 0.15ml AmoxiClav

Coat dirty. Flea dirt found, no live parasites noted

Ambulatory skills compromised.

NOSF

 

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