MISTY – A1125961
Urgent - 9-24-2017 Manhattan
SAFE 9/24/17 Gorgeous kitten Misty is waiting for you @MACC! Don’t keep her waiting any longer!
Misty A1125961, 13 weeks, Gray DMH F
Initial Exam (9/19/17)
DVM Intake Exam
Estimated age: 3 m
Microchip noted on Intake? n
History : stray
Subjective: draining tract in area of left anal gland. Large flucuant swelling in right inguinal area (hernia vs abscess?)
Observed Behavior – BAR
Evidence of Cruelty seen – n
Evidence of Trauma seen – n
t-103.3 P = 200 R = wnl BCS3/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: decid teeth
PLN: No enlargements noted
H/L: NSR, NMA,, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: female intact
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment: open diagnosis: rule out retroviral dz
Plan: clavamox 0.2ml bid x 14 d, 1st dose given
Hx: Came in yesterday with a draining tract in the region of the left anal gland, and (separately) a large fluctuant swelling in the right inguinal region – R/O hernia vs. abscess. Temp 103.3.
S: Eating, purring, allows all handling
O: BAR-H, BCS 3/9, MMs pink
EENT: Mild mucoid ocular discharge. Mild nasal crusting. Clean ears. Food-covered deciduous teeth.
PLNs: Not significantly enlarged.
H/L: NSR, NMA. Eupnic, quiet lung sounds.
Abd: Large fluctuant mass in the right inguinal region. No pain on palpation, no masses palpated.
M/S/I: Amb x4. No skin lesions noted.
Neuro: Alert and appropriate, no sign neurological deficiencies
Rectal: Small left anal gland fistulated abscess, smeared debris around anus.
Cleaned anus – no current discharge from abscess.
1. Anal gland abscess
2. Inguinal hernia
Short-term prognosis: Fair
1. Continue Clavamox, daily anus cleaning
2. Recommend surgical correction of inguinal hernia
Comes forward and meows, soliciting attention. Head-butts lightly when pet and leans in, purring. Remains soft throughout interaction and allows all handling. Will continue to meow after interaction ends.
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View all entries in: Safe Cats 2017-09