LOLA – 21036
Safe - 2-22-2018 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
SAFE 2/22/18 *SENIOR ALERT*15-year-old cat Lola has hyperthyroid and needs your help @MACC . Most recent owner had Lola for 11 months. The former owners told her that pt is hyperthyroid, and they gave her some medication but she did not continue it. The most recent owner was feeding her Blue Buffalo and while she initially had a great coat, after a while she did start to get flaky skin. Pt also only has one tooth left – she initially had a great appetite for dry and wet food but recently stopped eating dry food, would only slurp up a liquidy food mixture.
Manhattan Center
Lola 21036
Care Center Location: Manhattan
ZIP Code From: 10029
Intake Type: Stray
Medical Behavior: Green
Age: 15 years
Sex: Spayed female
Weight: 4 lbs 12.8 oz
Medical:
19-Feb-2018
Progress Exam
Vet Notes: 3:20 PM
Hyperthyroid, elevated ALT; started on methimazole
S/O
-QAR/BAR, friendly and affectionate, docile and allows all handling
-great appetite with moist food
-mm pk, sl tacky
-AU: dark discharge, pruritic
-no nasal discharge or sneezing
-OU: mild blepharospasms, mild clear/tan discharge at medical canthus, geriatric changes to iris/lens
-eupnic, purring, no obvious murmurs or arrhythmias
-soft abdomen
-hair coat slightly unthrifty with mild matting along dorsum
A
1. Hyperthyroid
2. Elevated ALT-r/o secondary to hyperthyroidism vs primary liver disease
3. Ear mites, suspected
P
-add tresaderm (recommend on DVM intake but never signed up)
-continue methimazole
-recommend rechecking chemistry with T4 in 7-10 days
18-Feb-2018
DVM Intake
Blood Work Interpretation
Vet Notes: 5:00 PM
CBC: Leukocytosis (22.8 k/ul) and neutrophilia (17.81 k/ul). Normal Hct (41.6%).
Chemistry: Low/normal glucose (88), Cl (111). Significantly elevated ALT (783), sl. elevated alk phos (136).
T4: 12.7
ASSESSMENT:
1. Hyperthyroid
2. No sign of anemia
3. Some degree of liver toxicity due to hyperT4
PLAN:
1. Methimazole 2.5 mg PO BID
2. Repeat CBC/chemistry/T4 in 3 weeks, consider changing the dose at that time
Vet Notes: 4:42 PM
DVM Intake Exam
Estimated age: Reported 15 years old
Microchip noted on Intake? Vet Services scanned – no chip detected, so a MC was placed during exam. The record was checked after this was done and it was noted that Admissions scanned and did find a MC. The pt was re-scanned several times with two different MC scanners, and only the ACC-implanted chip was detected.
Microchip Number (If Applicable): ACC implanted: 981020021573330. Previously detected: 443532747C.
History : Most recent owner had pt for 11 months. The former owners told her that pt is hyperthyroid, and they gave her some medication but she did not continue it. The most recent owner was feeding her Blue Buffalo and while she initially had a great coat, after a while she did start to get flaky skin. Pt also only has one tooth left – she initially had a great appetite for dry and wet food but recently stopped eating dry food, would only slurp up a liquidy food mixture.
Subjective: Alert, meows, walks around exam table
Observed Behavior – Allows most handling, but resists oral exam
Evidence of Cruelty seen – None
Evidence of Trauma seen – None
Objective
BAR, BCS 2/9, MMs pink
EENT: Moderate amount of thick black debris AU. Eyes clear, no nasal or ocular discharge noted. Normal fundic exam OU.
Oral Exam: Left mandibular canine is the only tooth in the mouth – mild tartar. Halitosis.
PLN: No enlargements noted
H/L: NSR, NMA Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Female, spay scar visible and palpable
MSI: Ambulatory x 4, skin free of parasites, no masses noted
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally
Assessment:
1. Reported hyperthyroidism
2. Emaciated
3. Dental disease, one tooth in mouth, halitosis, apparent oral pain
4. Likely ear mites
Prognosis: Fair
Plan:
1. CBC/chemistry/T4
2. Pending results of T4, will start methimazole
3. Tresaderm AU BID x10 days
Enrichment Notes:
15 yrs old, hyperthyroidism. Resting on bedding towards back, soft eyes and body. Stood and came forward when door opened. Leaned and arched into pets, purred. Stayed at the front when door closed, rubbed against the bars, meowed quietly.
Profile:
Animal Behaviour Saved At: 2/18/2018
Animal ID: 21036
Animal Name: Lola
Breed: Domestic Short Hair
Date of Intake
18-Feb-2018
Is this cat having litter box issues?
Yes
If yes, Please elaborate:
Lola urinates and defecates inside the litter box but does not covers her feces. The previous owner stated that she attempts to cover it but ends up scratching the walls of the litter box instead.
Basic Information:
Lola is a 15 years old tortie and white domestic short hair cat. She was surrendered because her previous owner did not have the time to care for Lola’s special medical needs.
Previously lived with:
1 Adult
How is this cat around strangers?
Lola was extremely friendly with strangers.
How is this cat around children?
Lola has not been with children for 1 whole year but before she lived with 2. She was relaxed around children.
How is this cat around other cats?
Lola was not around cats.
How is this cat around dogs?
Lola was relaxed around dogs. Her previous owner took her to the park while she was wearing a harness. She carried her to the park and while in the park she really loosen up. She allowed dogs to approach her and remained relaxed around them.
Behavior Notes
Lola was not bothered by being bath, picked up and held, placed inside carrier, and disturbed while sleeping. She struggled while having her nails trim.
Bite history:
She does not have a bite history. She only has one tooth left.
Energy level/descriptors:
Medium, affectionate
Has this cat ever had any medical issues?
Yes
Medical Notes
Please see medical memo.
For a New Family to Know
She was described as an affectionate cat. She was very playful and followed the owner around the house.
Behavior Notes:
Upon intake Lola had a loose body and amorous tail. She walked out her carrier headbutting and headbutted the admissions counselor. She allowed her previous owner to kiss her multiple times on her face repeatedly. She was easy to pick and hold. She stood still nicely for picture. She attempted to jump off the admissions counter but the counselor was able to stop her.
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View all entries in: Safe Cats 2018-02