MISHU – A1085639

Manhattan Center

My name is MISHU. My Animal ID # is A1085639. – P
I am a neutered male black and white domestic sh. The shelter thinks I am about 11 YEARS old.

I came in the shelter as a STRAY on 08/16/2016 from NY 10033, owner surrender reason stated was STRAY. I came in with Group/Litter #K16-070246.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
08/22/2016 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 7.0 LBS.

8/22/16 No appetite this morning Moderate dehydration – decreased skin turgor Tachycardic Continue to provide supportive care and work towards placement with definitive thyroid testing and treatment 1088 —– 08/21/16 13:15 QAR, mild DH emaciated BCS very palpable thyroid nodule A: likley hyper T4 r/o concurrent illness P: ok with app monitor in holding until ID hold is up , continue with supportive care LRS SC, abx, mirtazapine 8/20/16 S/O: QAR, purring, very sweet cat. Reported to be eating normal skin tent EENT: slightly tacky pink gums, no oral masses, gingivitis, elongated canines palpable thyroid nodule LN: SNF H/L: purring, but eupneic, lungs clear, unable to ascult heart sounds ABN: SNP A: thin, thyroid nodule: r/o underlying hyperthyroidism, other dental/periodontal dz leukocytosis: r/o underlying infection, neoplasia, other dehydration: improved P: CWSC strongly rec NH placement for AUS T4 to r/o hyperthyroidism. P is geriatric and has some findings consistent with hyperthyroidism, if diagnosed, can be managed. prognosis: fair with treatment and testing 8/19/16 S/O: BAR to QAR Mod dehydration can food looks to have only a small amount eaten, very sweet cat EENT: severe dental dz AU crusted, severely pruritic otitis MS/Sk: significantly underwgt bcs 2-3/9 ABD: nsf on palpation Repro/Ur: bilat small kidneys Lymph: nsf Neuro: nsf H/L: hr 240 2/6 hm tachycardia pink tacky mm <2 Lungs: nsf Mod T-nodules bilat A: underwgt r/o nutritional, thyroid +/- renal dehdyrated r/o renal, gi other otitis r/o earmites vs inf dental dz hm/tachycardia r/o metabolic, stress, cardiogenic P: con’t with current tx

08/16/2016 PET PROFILE MEMO
08/16/16 16:25 Mishu was purring and kneading. He allowed me to pet him and pick him up. He showed no signs of aggression.

WEB MEMO
No Web Memo

08/19/2016 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
Reaction to assessor: Mishu immediately comes soliciting at the front of the cage. Reaction to door opening: Mishu remains standing at the front of the cage, relaxed body posture, soliciting attention. Reaction to touch: Mishu head-butts the assessor’s hand and appreciates petting on the head and body. Reaction to Being Picked up: Allows the pickup and remains calm. Placement determination: Beginner Mishu interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.

GROUP BEHAVIOR EVALUATION
No Group Behavior Summary

08/16/2016 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
scan negative severe underweight dehydration heavy dental tartar has trouble walking neutered slight nervous during exam went to medical holding off on all vax until seen by vet

08/22/2016 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
8/22/16 No appetite this morning Moderate dehydration – decreased skin turgor Tachycardic Continue to provide supportive care and work towards placement with definitive thyroid testing and treatment 1088 —– 08/21/16 13:15 QAR, mild DH emaciated BCS very palpable thyroid nodule A: likley hyper T4 r/o concurrent illness P: ok with app monitor in holding until ID hold is up , continue with supportive care LRS SC, abx, mirtazapine 8/20/16 S/O: QAR, purring, very sweet cat. Reported to be eating normal skin tent EENT: slightly tacky pink gums, no oral masses, gingivitis, elongated canines palpable thyroid nodule LN: SNF H/L: purring, but eupneic, lungs clear, unable to ascult heart sounds ABN: SNP A: thin, thyroid nodule: r/o underlying hyperthyroidism, other dental/periodontal dz leukocytosis: r/o underlying infection, neoplasia, other dehydration: improved P: CWSC strongly rec NH placement for AUS T4 to r/o hyperthyroidism. P is geriatric and has some findings consistent with hyperthyroidism, if diagnosed, can be managed. prognosis: fair with treatment and testing 8/19/16 S/O: BAR to QAR Mod dehydration can food looks to have only a small amount eaten, very sweet cat EENT: severe dental dz AU crusted, severely pruritic otitis MS/Sk: significantly underwgt bcs 2-3/9 ABD: nsf on palpation Repro/Ur: bilat small kidneys Lymph: nsf Neuro: nsf H/L: hr 240 2/6 hm tachycardia pink tacky mm <2 Lungs: nsf Mod T-nodules bilat A: underwgt r/o nutritional, thyroid +/- renal dehdyrated r/o renal, gi other otitis r/o earmites vs inf dental dz hm/tachycardia r/o metabolic, stress, cardiogenic P: con’t with current tx

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