MIRACLE – A1096312

Brooklyn Center

My name is MIRACLE. My Animal ID # is A1096312. – P
I am a female calico domestic sh mix. The shelter thinks I am about 2 YEARS

I came in the shelter as a STRAY on 11/08/2016 from NY 11236, owner surrender reason stated was PET HEALTH.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
11/11/2016 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 5.5 LBS.

11/11/16 Recheck exam, paresis, urine scald S/O: BARH. Attention seeking, active, eating with excellent appetite. noraml feces, urine on bedding EENT: Eyes clear, no ocular or nasal discharge M/S: Holds hind limbs in extension, positive withdrawal and nociception INTEG: Area of urine scald cleaned with SSD applied A: Hind end paralysis/paresis with likley urinary incontinence secondary to spinal trauma P: Continue with current treatment and monitoring plan. poor prognosis 11/10/16 Recheck exam O: BARH. Friendly and social, eating/drinking well. Large amount of urine on bedding and soaking fur over hind end. MS/NEURO: Holding hind limbs in extension.Voluntary movement in both hind limbs – able to flex and extend at the hip joint; does not appear to be able to flex at stifle joint. Attempts to push up with hind legs but still unable to bear weight and collapses. Forelimbs WNL. Pos. withdrawal and nociception both hind legs. INTEG: Area of urine scald has SSD cream on it. No new skin lesions found. A: Hind limb paresis/paralysis with likely urinary incontinence secondary to spinal trauma. Condition stable. P: Continue current therapy and monitoring while at BACC. Guarded prognosis. 11/09/16 Recheck exam. O: BARH. mm=lt pink, moist, CRT<2 s. Eating well, very social and eager for attention. Urine on bedding. ABD: Urinary bladder small, soft. Observed to leak urine when picked up. MS/NEURO: Holding hindlimbs extended when in sternal or attempting to walk. Amb x 2 with forelimbs. Voluntary movement of both hind limbs with pos. withdrawal and nociception, but unable to bear weight on either limb. INTEG: Previous area of urine scald unchanged – severe erythema, moisture, and areas of scabbing/necrosis. A: Hind limb paresis/paralysis unchanged. Severe urine scald. Suspect cat may have urinary incontinence. Most likely she has sustained a spinal injury. Overall condition is stable. P: Continue current therapy and monitoring. Guarded prognosis.

11/08/2016 PET PROFILE MEMO
11/08/16 17:45 Upon intake Miracle was injured limited handling done. Cousnelor was able to scan (negative), lift from the cardboard box into carrier. She was collared and photo was taken inside carrier.

WEB MEMO
No Web Memo

11/11/2016 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
Miracle was brought in as a stray, so we cannot speak to her behavior in her previous home. Reaction to assessor: Miracle was lying down on her blanket near the back of the kennel. Reaction when softly spoken to: Miracle turns her head and glances over at the assessor with soft, relaxed eyes. Reaction to cage door opening: Miracle is calm and relaxed. Reaction to touch: Miracle purrs softly then rubs up against the assessor’s hand for attention. She allows petting all over, reaches out and rolls on her side when rubbed on her cheeks. Please note that this cat has a severe medical condition so we may not be seeing any true behavior and behavior may change when the cat’s medical condition improves. Behavior Determination: Beginner Miracle interacts with the assessor, solicits attention, is easy to handle and tolerates all petting. No known history of behavioral problems. This cat can go to a beginner home.

GROUP BEHAVIOR EVALUATION
No Group Behavior Summary

11/08/2016 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
11/08/16 Check injured cat – appears to be unable to use her back legs. Microchip scan neg. O: QARH. mm=pale pink, sl. tacky. Seems shy but friendly, allows all handling. ORAL: Clean teeth, no dental problems. EENT: No oculonasal discharge. H/L: Lungs clear, no murmurs. ABD/UG: Female. Abd palpation NSF. Urinated in carrier and during exam, appeared to be voluntary, not dribbling. MS: Amb x 2 – forelimbs WNL, moves by pulling herself forward. Muscle wasting hips and thighs both hind limbs. Toes are pink and warm in hind limbs. No palpable fractures or luxations. NEURO: Unable to bear weight hind limbs but has voluntary movement in both. INTEG: Urine soaked rear legs, perinuem. Severe erythema, moisture, swelling over perineum, caudal hips. Has scabbing and/or necrotic skin in this area as well. A: Bilateral hind limb paresis/paralysis although some motor activity is present. Severe urine scald. P: Sedated with Telazol 0.06 ml IM to allow clipping/cleaning of perineum and to take radiographs. Shaved affected areas of perineum/caudal hind legs and cleaned with chlorhexidene. Large area of skin necrosis over perineum. Applied SSD cream. Convenia 0.3 ml SQ given. Lat/VD lumbar spine/pelvic rads: No bony lesions evident. Start Buprenorphine S/R 0.1 ml SQ q 72 hours. Guarded prognosis – will need to monitor ability to urinate/defecate closely.

11/11/2016 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
11/11/16 Recheck exam, paresis, urine scald S/O: BARH. Attention seeking, active, eating with excellent appetite. noraml feces, urine on bedding EENT: Eyes clear, no ocular or nasal discharge M/S: Holds hind limbs in extension, positive withdrawal and nociception INTEG: Area of urine scald cleaned with SSD applied A: Hind end paralysis/paresis with likley urinary incontinence secondary to spinal trauma P: Continue with current treatment and monitoring plan. poor prognosis 11/10/16 Recheck exam O: BARH. Friendly and social, eating/drinking well. Large amount of urine on bedding and soaking fur over hind end. MS/NEURO: Holding hind limbs in extension.Voluntary movement in both hind limbs – able to flex and extend at the hip joint; does not appear to be able to flex at stifle joint. Attempts to push up with hind legs but still unable to bear weight and collapses. Forelimbs WNL. Pos. withdrawal and nociception both hind legs. INTEG: Area of urine scald has SSD cream on it. No new skin lesions found. A: Hind limb paresis/paralysis with likely urinary incontinence secondary to spinal trauma. Condition stable. P: Continue current therapy and monitoring while at BACC. Guarded prognosis. 11/09/16 Recheck exam. O: BARH. mm=lt pink, moist, CRT<2 s. Eating well, very social and eager for attention. Urine on bedding. ABD: Urinary bladder small, soft. Observed to leak urine when picked up. MS/NEURO: Holding hindlimbs extended when in sternal or attempting to walk. Amb x 2 with forelimbs. Voluntary movement of both hind limbs with pos. withdrawal and nociception, but unable to bear weight on either limb. INTEG: Previous area of urine scald unchanged – severe erythema, moisture, and areas of scabbing/necrosis. A: Hind limb paresis/paralysis unchanged. Severe urine scald. Suspect cat may have urinary incontinence. Most likely she has sustained a spinal injury. Overall condition is stable. P: Continue current therapy and monitoring. Guarded prognosis.

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