MISTY – 21971

Brooklyn Center

*RETURN*

Misty 21971 – 1 yr. spayed gray tabby, stray:

ENRICHMENT NOTES:
03/02/18
Pressed up against the back wall of the kennel, hiding underneath the blanket. Seems very uncomfortable. Her body tenses up and she tries to inch away. Not interested in treats. Kept interaction short due to stress.

03/13/18
At front of kennel, ears forward and body relaxed. Chirps and steps towards me when spoken to. Allows petting along head and body while leaning in and raising tail. Doing well!
Origin AddressSpay/Neuter statusYesDate of Intake12-Mar-2018
Is this cat having litter box issues?NoBasic Information:Misty is approximately a 1 year old DSH female who was spayed prior to coming back to the shelter. The owner had only had her in the home for about 4 days before returning her due to unforeseen medical costs which she cold not afford to cover.
Previously lived with:Owner and child
How is this cat around strangers?Misty is friendly and outgoing when meeting new people.
How is this cat around children?Misty has lived with one child in the home and was playful and relaxed around her.
How is this cat around other cats?Misty has not interacted with other cats before.
How is this cat around dogs?Misty has not interacted with other dogs before.
Behavior NotesMisty’s owner had not bathed or groomed her previously. She allows the owner to pick her up and hold her and she does not struggle to be placed in the carrier.
Bite history:Misty has no bite history.
Energy level/descriptors:Medium
Has this cat ever had any medical issues?YesMedical NotesMisty was surrendered to the shelter after being diagnosed with a bowel obstruction. The vets did an X-ray and stated it appeared to be a string type object.
For a New Family to KnowMisty is described as being friendly, affectionate and playful. She is litter box trained using an uncovered box with clumping or crystal litter and eats both wet and dry food. She likes to play with all kinds of toys and had been an indoor cat. She slept on the daughters bed and.
Behavior Notes:Misty allowed to be picked up, collared, scanned, and photographed with a relaxed body.

 

13-Mar-2018
Spay/Neuter Summary
Blood Work Interpretation
Post Surgery Note: 2:27 PM

Pre Medication
Simbadol 0.52ml SQ
Anesthetic Induction
Telazol:0.1ml IM
Gas Maintenance:
Isoflorane % : 2%
NSAID
Robenicoxib 0.38ml SQ

Vet Notes: 1:19 PM

PC) Suspect intestinal string foreign body.

Hx:History :
3/2-intake-APH
3/6-spayed
3/12- per PC with rDVM – cat vomited 5x (with a little blood and foam) starting 2 days prior, lethargic, only licking at food. X-rays and radiologist consult – suspect linear foreign body obstruction in R cranial quadrant. Cerenia, famotidine, and SQF given. Vet discussed referral for u/s with client.
3/12 pm – LVT intake, reported to be obstructed, given SQ LRS and lactulose. Came in with vet records reporting history of vomiting blood and foam.

S/O) No vomit overnight, ate some.
BAR, ~5% dehydrated. MM pk.
EENT: Eyes clr, NND, Oral – no string under tongue, no ulcers.
MSI: BCS= 4/9, ambx 4, abd shaved.
H/L good.
Abd: SNP, NMP – possibly slightly tense a few times.
U/G: FS – spay incision CDI- almost healed, green linear tattoo L of incision, no vulvar d/c

A) Vomiting – Suspect GI linear fb (per xray) vs gastritis
Mild dehydration

P) CBC/ Chem:
Mild anemia 26.5% (30.3-52.3) – r/o consistent with young age vs real.
Mild neutrophilia 12.26 (1.48-10.29) with high normal WBC – r/o stress leuk vs inflam/ infxn
Slight hypokalemia 3.4 (3.5-5.8) – electrolyte r/o due to vomiting and dehydration.

1. Place IVC – 2x maint pre and post sx rate Stop fluids at end of day but keep catheter in to re-assess tomorrow.
2. Start simbadol 0.24mg/kg SQ SID x3d until 3/15 (got first dose pre-op)
3. Onsior post op.
4. Start clavamox 13.75mg/kg PO BID x7d until 3/20
5. Added Cerenia 4 mg SQ once
and Famotidine 2 mg SQ once, then monitor for vomiting.
6. Add nutrical – no other K supp other than in regular LRS.
7. Consider adding pet-tinic once eating.

[Exploratory Surgery – Cat]

Ventral Midline Incision
Stomach filled with small amount ingesta/ fluid – no fb palpated.
Intestines – few adhesions upper R quadrant near site of ovario-ectomy. Intestines twisted and mildly tight – unable to pull out of abdomen. Broke down adhesions and was able to run full length of intestines. Intestines empty – no foreign body palpated. Very small amount ingesta in distal large intestines. Mild amt soft feces in colon.
OVH sites: Lump but no suture seen R ovarian artery – suspect self tie. Dark spot at tip of L ovarian artery – appears to be suture. Ligature seen on uterine body. NSF for all sites, no sign of bleeding.
Other organs checked – liver, kidneys, spleen, pancreas, bladder – all NSF. LN small.

Abdominal Closure: 3-0 PDS simple cont with 2 overlay simple interrupted suture
SQ and skin: 3-0 PDS simple cont

Surgeon: 0587

Additional Comments:
Fluids given at 22ml/hr pre-op for 1 hr.
Was on surgical rate of 40 ml/hr. Due to low pressures, 20 cc bolus given and rate raised to 80 ml/hr. Pressures good after.
Kept on fluids 2x maint post
VET-P 990587

13-Mar-2018

13-Mar-2018
DVM Intake
Radiograph Review
Vet Notes: 10:48 AM

DVM Intake Exam

Estimated age: 1 year
Microchip noted on Intake? positive 981020023009446

History :
3/2-intake-APH
3/6-spayed
3/12-LVT intake, reported to be obstructed, given SQ LRS and lactulose. Came in with vet records reporting history of vomiting blood and foam. rDVM diagnosed linear foreign body obstruction based on radiographs (not brought to ACC). Given SQ LRS, cerenia, and famotidine

Subjective: BAR, ~5% dehydrated. No csvd. Normal U in litter box, no bm. Eating well.
Observed Behavior – very sweet. Easily handleable. Did well for all medical handling and procedures
Evidence of Cruelty seen – no
Evidence of Trauma seen – no

Objective
P = wnl
R = eupneic
BCS 5/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: clean adult dentition, no oral lesions noted, no fb under tongue
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: mildly tense in some areas, no masses palpated
U/G: FS (spay incision cdi), no MGTs, no vulvar d/c
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: mentation appropriate – no signs of neurologic abnormalities

Assessment:
GI foreign body obstruction suspect linear fb
Mild dehydration

Plan: Continue to monitor while at BACC
AXR-obstructive SI pattern with multiple distended gas filled loops, small amount of feces in colon, mostly empty stomach
CBC/Chem pending
Place IVC and start on LRS 60ml/kg/day
Exploratory laparotomy today
Start simbadol 0.24mg/kg SQ SID x3d until 3/15 (got first dose pre-op)
Will get onsior post op
Start clavamox 13.75mg/kg PO BID x7d until 3/20

Prognosis: Good

SURGERY: spayed
VET 991416

12-Mar-2018
LVT Intake
L V T Notes: 8:15 PM

Scanned positive with Chip #981020023009446
Returned adoption.
**Cat has not had a bowel movement in slightly over 24 hours. Was taken to vet; vet performed xray and found a “bowel obstruction.” Medical records in packet in KSC.
BAR – mild dehydration. Curious, friendly.
EENT clear
Abdomen soft, bladder empty.
Temp 100.5, BPM/HR WNL
Re: VOC gave 1.0cc lactulose, 100cc LRS SQ.

Needs DVM priority exam.
LVT-E 991059
12-Mar-2018
6-Mar-2018
Spay/Neuter Summary
Post Surgery Note: 2:20 PM

Pre-surgical exam, anesthesia, and surgery performed by ASPCA.
Green linear tattoo placed on ventral abdomen.
**hydrometra**
Offsite Vet

5-Mar-2018
Pre-Op Exam
Vet Notes: 10:25 AM

Pre-surgery exam

S/O: BARH. Active, allows all handling
ORAL: adult dentition, no oral lesions
EENT: Pink mm, eyes clear, no ocular or nasal discharge, ears wnl
HL: NMA, RR, Lungs C&E
ABD: SNP, NMP
INTEG: GHC, no ectos noted
MS: Ambulatory x 4
UG: FI, no vulvar d/c, no MGTs
NEURO: A&A

A: Apparently healthy

P: Continue to monitor while at BACC. OK for surgery tomorrow

Excellent prognosis
VET 991416

2-Mar-2018
DVM Intake
Vet Notes: 11:54 AM

DVM Intake Exam

Estimated age: 1-2yrs
Microchip noted on Intake? no
Microchip Number (If Applicable):

History: Brought in as stray

Subjective: Cat is Q/BARH

Observed Behavior – shy/timid, was hissing in cage, but allows all handling for exam and treatments, pancakes to exam table

Evidence of Cruelty seen -no

Evidence of Trauma seen – no

Objective

T = NA
P = 200
R = 40
BCS 5/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Healthy adult dentition; Grade 0/4 dental dz
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: female; appears to have small amount of serous to mucoid discharge (no odor) around vulva; no obvious spay scar or tattoo
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: not performed

Assessment: Apparently healthy

Prognosis:
Good-Excellent

Plan: Acceptable candidate for adoption or rescue

SURGERY:
Okay for surgery

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