LYNOL – 29704
Safe - 6-15-2018 Manhattan Rescue: F.A.C.T Please honor your pledges: [email protected]
SAFE 6/15/18 Lynol – Kitty @ MACC *REQUIRES 6 MONTH RABIES OBSERVATION* Lynol will require a 6 month isolation that can be in the home with monthly vet visits until 4 months of age and then monthly calls to us thereafter. If leaving the 5 boroughs, quarantine MUST be approved by the receiving city or township DOH. Please note, the 5 boroughs are easier for in home quarantine.
MANHATTAN CENTER
Lynol 29704
Care Center Location: Manhattan
ZIP Code From: 10473
Intake Type: Stray
Medical Behavior: Blue
Age: 4 years
Sex: Male
Weight: 12 lbs
Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
3-Jun-2018
2-Jun-2018
Progress Exam
VET 991516
31-May-2018
DOH Vet Statement
Vet Notes: 4:17 PM
May 31, 2018
To Whom it May Concern
This letter is in regards to LYOL (NYCACC Shelter Buddy # 29704), an approximately 4 year old gray and white intact male cat brought to the Manhattan Care Center on May 30, 2018. Lyol presented as a stray (indoor/outdoor) cat being fed by a member of the public. Examination of soft tissue swelling to the left side of Lyol’s face revealed two puncture wounds of unknown origin and are suspected to be bite wounds.
Dr 0577
VET-P 990577
31-May-2018
Progress Exam
Radiograph Review
Vet Notes: 4:01 PM
Recheck of ST swelling around/behind left eye and wounds on the left side of face/cheek:
S/O: QARH BCS 7/9
sedated for more thorough exam of wound + cleaning + skull rads
Clipped hair around left mandible/cheek region to reveal two round puncture wounds ~1.5 cm apart with surrounding scar tissue and draining a serosanguineous fluid. The left eye is severely exophthalmic with protrusion of the 3rd eye-lid
AU clean
Oral exam showed mild dental dz with inflammation around the left mandib. molar, no discharge appreciated from the mouth during exam
A: Soft tissue swelling and puncture wounds to the left mandible/cheek region, possible bite wounds, with retrobulbar swelling causing exophthalmus OS
Rads: lateral and DV of skull = soft tissue swelling on the left side of head/face but no fractures or other signs of trauma observed
P: Cont. with current tx (pain meds, ATB’s)
+ lubricate left eye
+ DOH bite hold
VET-P 990577
30-May-2018
DVM Intake
Vet Notes: 5:53 PM
DVM Intake Exam
Estimated age: Estimated 3-6 years based on secondary sex characteristics
Microchip noted on Intake? Scanned neg
History : Wound on face
Subjective: Alert, mews, looks around from inside carrier but is reluctant to get out
Observed Behavior – Slightly tense but allows all handling
Evidence of Cruelty seen – None
Evidence of Trauma seen – Wound to left side of face
Objective
BAR, estimated 5-8% dehydrated, MMs pink, BCS 6/9
EENT: Left side of the face is moderately swollen and firm, with a draining tract that’s oozing pink creamy purulent discharge. OS is severely exophthalmic, with elevated third eyelid and conjunctival erythema. OD NSF. Ears clean, no nasal discharge noted.
Oral Exam: Left side of the mouth (cheek and tongue) is severely swollen, with a large ranula under the left side of the tongue. Mild dental disease, possibly a fistula on the buccal side of the maxillary 4th premolar. Mild amount of bloody saliva, and purulent stringy saliva.
PLN: Left mandib LN enlarged.
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Soft, not distended, no masses palpated
U/G: Male intact, testicles S/S
MSI: Some discharge from oral abscess on medial aspect of left front leg. Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally
Assessment:
1. Large abscess in the left side of the face causing retrobulbar swelling and a secondary ranula. Due to the level of swelling, it is difficult to determine if the inciting cause was a bite wound, another external cause of trauma, or a tooth root abscess.
2. Dehydration
Prognosis: Good with prompt treatment
Plan:
1. Re-evaluate tomorrow after swelling has gone down, to determine if the wound is related to a bite
2. LRS 200 ml SQ SID x3 days
3. Convenia 0.6 ml SQ
4. Simbadol 0.75 ml SQ SID x7 days
5. Onsior 0.6 ml SQ SID x3 days
SURGERY:
Okay for neuter surgery
1088
For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected]. Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
View all entries in: Safe Cats 2018-06