LULLABY – A1097881

Manhattan Center

My name is LULLABY. My Animal ID # is A1097881. – P
I am a female black domestic sh mix. The shelter thinks I am about 10 YEARS old.

I came in the shelter as a STRAY on 11/25/2016 from NY 11378, owner surrender reason stated was STRAY.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
11/28/2016 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 7.2 LBS.

11/28/16 15:48 S/O: Quiet, slightly depressed, resting in back of cage, urine in litter box – no evidence of appetite – did not eat all during the AM – gave Mirtazapine 3.75 mg A: inappetance – hx of hypercalcemia P: cont. treatment and monitor appetite – cont. IVF – needs NH placement and further workup or consider EHR at end of hold px: guarded longterm if no improvement 11/27/16 11:07 S: ate overnight O: BAR H AU: WNL OU: MPOD, iris atrophy CV: NMA, s&s pulses, pink moist mm Resp: lungs clear x Abd: SNP MS: 4x ambulatory, no weakness or lameness Neuro: PLRs, menace & mentation WNL, CPs WNL, no ataxia A: conjunctivitis hypercalcemia P: TAB OU BID x 7 cont IVF today place with NH recommend full work up of hypercalcemia px: good fshort term, open long term 11/26 pm notes: ate verywell after approx 1hr of IV fluid admin 11/26/16 10:31 S: sleeping in kennel in am, did not eat or urinate overnight O: QAR, mildly dehydrated AU: WNL OU: iris atrophy Oral: dental tartar Int: WNL Lnn: WNL CV: NMA, s&s pulses, pink mm Resp: lungs clear x4 Abd: painful on mid to caudal abdominal /spinal palpation Repro: female MS: BCS 3/9,significant hindlimb mm atrophy, mimimally ambulatory, falls to right hind side, forelimbs apparently WNL Neuro: no hindlimb weakness, withdrawal WNL A: spinal injury vs pelvic fx vs RHL injury vs other dehydrated anorexic P: 70ml LRS SQ BID x 3d 0.32 ml Cerenia SQ SID x3d 0.2ml Buprenex SQ BID x 5d 3.76mg mirtazapine PO SID addendum CBC mild non regen anemia, mild neutrophilia Chem sever hypercalcemia in the absence of hyperphosphotemia or azotemia Rads pelvic = no pelvic femoral or spinal fractures, spindolosis deformans at L7- S1 verts Rads abd = shrunken irregularly marginated L kidney, slightly enlarged R kidney A: anemia of chronic dz vs other CKD (nonazotemic) hypercalicemia of malignancy (lymphoma vs other) vs idiopathic hyperparathyroidism (extremely rare, unlikely diagnosis) P: IVC bolus 40ml LRS IV over 30min, then 10mlhr monitor appetite overnight place with NH recommend ionized Ca & PTH rp test, or Abd US, or FLOW cytometry px: poor to grave, if not eating and not improving by tomorrow, recommend EHR

11/25/2016 PET PROFILE MEMO
11/25/16 21:36 Lullaby is a black DSH cat found as a stray & brought into QAC. Lullaby appears lethargic and possibly ill. Upon intake Lullaby allowed all handling and scanned negative. He started to vomit while in QAC and began to hiss and meow at the counselor.

WEB MEMO
No Web Memo

11/27/2016 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
Lullaby was brought in as a stray, so we cannot speak to her behavior in her previous home. She appeared lethargic and ill upon intake, but allowed the counselor to handle her. She began to vomit after, and then hissed and meowed at the counselor. She also allowed handling during her initial medical team, but emitted some growling during the exam. The medical team reports she did not display any further reactions. Reaction to assessor: Lullaby was lying down, resting upon approach. Reaction when softly spoken to: Lullaby turns her head to face the assessor, calm and relaxed. Reaction to cage door opening: Lullaby remains motionless. Reaction to touch: Lullaby sniffs the assessor’s hand and accepts petting. She gets up to approach the front, and leans against the assessor’s hand for cheek rubs. Reaction to being picked up: Lullaby remains calm and looks around her surroundings when held. Behavior Determination: Average Lullaby interacts with the Assessor, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.

GROUP BEHAVIOR EVALUATION
No Group Behavior Summary

11/25/2016 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
Microchip: negative Sex: intact female Age: reported 10y Mentation: BAR, slight dehydration Eyes: slight opacity Ears: clean Nose: no d/c Teeth: moderate staining, some early ddz (odor, tartar) If abnormal BCS: WNL Skin: WNL Hair Coat: dull but WNL Declawed: no Any injuries: no; reported vomiting and lethargic by finder (known neighborhood cat), eager to drink water but turned from food on exam, possibly nauseated, slight prolonged turgor Behavior: allows handling but will occ. growl but not lash out Medication: N/A, preventatives given (no deworming) and on for vet check

11/28/2016 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
11/28/16 15:48 S/O: Quiet, slightly depressed, resting in back of cage, urine in litter box – no evidence of appetite – did not eat all during the AM – gave Mirtazapine 3.75 mg A: inappetance – hx of hypercalcemia P: cont. treatment and monitor appetite – cont. IVF – needs NH placement and further workup or consider EHR at end of hold px: guarded longterm if no improvement 11/27/16 11:07 S: ate overnight O: BAR H AU: WNL OU: MPOD, iris atrophy CV: NMA, s&s pulses, pink moist mm Resp: lungs clear x Abd: SNP MS: 4x ambulatory, no weakness or lameness Neuro: PLRs, menace & mentation WNL, CPs WNL, no ataxia A: conjunctivitis hypercalcemia P: TAB OU BID x 7 cont IVF today place with NH recommend full work up of hypercalcemia px: good fshort term, open long term 11/26 pm notes: ate verywell after approx 1hr of IV fluid admin 11/26/16 10:31 S: sleeping in kennel in am, did not eat or urinate overnight O: QAR, mildly dehydrated AU: WNL OU: iris atrophy Oral: dental tartar Int: WNL Lnn: WNL CV: NMA, s&s pulses, pink mm Resp: lungs clear x4 Abd: painful on mid to caudal abdominal /spinal palpation Repro: female MS: BCS 3/9,significant hindlimb mm atrophy, mimimally ambulatory, falls to right hind side, forelimbs apparently WNL Neuro: no hindlimb weakness, withdrawal WNL A: spinal injury vs pelvic fx vs RHL injury vs other dehydrated anorexic P: 70ml LRS SQ BID x 3d 0.32 ml Cerenia SQ SID x3d 0.2ml Buprenex SQ BID x 5d 3.76mg mirtazapine PO SID addendum CBC mild non regen anemia, mild neutrophilia Chem sever hypercalcemia in the absence of hyperphosphotemia or azotemia Rads pelvic = no pelvic femoral or spinal fractures, spindolosis deformans at L7- S1 verts Rads abd = shrunken irregularly marginated L kidney, slightly enlarged R kidney A: anemia of chronic dz vs other CKD (nonazotemic) hypercalicemia of malignancy (lymphoma vs other) vs idiopathic hyperparathyroidism (extremely rare, unlikely diagnosis) P: IVC bolus 40ml LRS IV over 30min, then 10mlhr monitor appetite overnight place with NH recommend ionized Ca & PTH rp test, or Abd US, or FLOW cytometry px: poor to grave, if not eating and not improving by tomorrow, recommend EHR

 

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