OPAL – 7991 aka A1127136
Safe - 10-11-2017 Manhattan
***SAFE 10/11/17*** SWEET AND AFFECTIONATE OPAL IS A JEWEL WHO NEEDS A SPECIAL RESCUE ADOPTER TONIGHT! OPAL HAS 2 VIDEOS – BE SURE TO CLICK INTO POST TO WATCH! Senior gal Opal was brought to shelter by police when her owner died. Opal has an anemica condition and a heart murmur which will need follow up vet care. She is a loveable sweet cat who gave head-butts at intake. Please help this girl get a new home and medical care. MUST RESERVE OPAL BY NOON!!
MANHATTAN CENTER
Hello, my name is Opal. My animal id is #7991. I am a female gray cat at the Manhattan Animal Care Center. The shelter thinks i am about 10 years old. – P
I came into the shelter as a data import – incoming on 01-Oct-2017.
CBC/CHEM done, DVM notified of results
Details on my behavior are…
Behavior Assessment Date: 10/4/2017 KNOWN HISTORY: Opal was brought in as a stray, so we don’t have any behavioral history or tendencies in a home environment. MEDICAL BEHAVIOR: N/A ENRICHMENT NOTES: N/A Cage Condition: Cage is neat Reaction to assessor: Opal immediately comes soliciting at the front of the cage. Reaction when softly spoken to: Opal remains soft in place. Reaction to cage door opening: Opal remains standing at the front of the cage, relaxed body posture, soliciting attention. Reaction to touch: Opal 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. ACTIVITY LEVEL: Mellow VOCAL: Somewhat chatty CHARACTER TYPE: Social Sweet Affectionate POTENTIAL CHALLENGES: None Potential challenges comments: N/A BEHAVIOR DETERMINATION: Beginner Behavior Asilomar H – Healthy RECOMMENDATIONS: None Recommendations comments: N/A BEHAVIOR SUMMARY: Opal interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home. 10/4/17-Behavior: Beginner
10/4/17-Behavior: Beginner
PU/PD according to Symptoms Log. Appears to be dehydrated. Has not yet received intake exam. Move down to Medical, run CBC/chemistry, do intake exam. [DVM Intake] Estimated age: Estimated 10-12 years old Microchip noted on Intake? Scanned neg on intake History : Owner found deceased, no health hx available Subjective: Alert, meows, allows all handling, tail taps occasionally Objective BAR, estimated 5-8% dehydrated, BCS 3/9, generalized muscle wasting including temporalis muscles EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Moderate tartar PLN: No enlargements noted H/L: Gallop rhythm. Lungs clear, eupnic. ABD: Soft, non painful, no masses palpated U/G: Female, presumed intact, not shaved for spay scar MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Normal externally Urinalysis (cysto) – clear straw-colored urine, USG 1.016, some protein and WBC CBC: Hct 16.7%, nonregenerative, microcytic hyperchromic Chemistry: BUN 46, creat 2.1, mildly elevated ALT and alk phos, Na Assessment: 1. Renal azotemia, PU/PD, emaciation – chronic kidney disease 2. Gallop rhythm – R/O underlying heart disease, thyroid disease, other Prognosis: Fair Plan: 1. Placed IVC, start LRS at 10 ml/hr 2. Famotidine 0.2 ml IV SID 3. Monitor appetite, vomiting SURGERY: Permanent waiver due to old age 1088
Estimated age:12-14 years Microchip noted on Intake? History :owner passed away; police brought cat to MACC; blood work from 10/1 available for review CBC-severe non regenerative anemia (16.7%); high normal monocytes Chemistry-mild to moderate azotemia (creat 2.1, BUN 46), elevated ALT (297) and ALP (167), hypernatremia (167) IVF running at 10 ml/hr; also on famotidine 2 mg IV SID Subjective:QAR Observed Behavior -great appetite; very affectionate, allows all handling Objective BCS=3/9 EENT:OU-clouding of the lens; no nasal discharge or sneezing Oral Exam:mm pale pk, tacky PLN: No enlargements noted H/L: auscultation difficult due to loud purring but gallop arrhythmia and grade III heart murmur noted; eupnic ABD: tense, uncomfortable on cranial abdominal palpation; intestines feel fluid filled MSI: severe diffuse muscle wasting; ambulatory, mild intermittent plantigrade stance CNS: mentation appropriate – no signs of neurologic abnormalities Assessment Azotemia-r/o dehydration vs mild CKD and dehydration vs GI inflammation/irritation vs other Anemia Elevated liver values-r/o pancreatitis vs mild hepatic lipidoses vs neoplasia vs other Painful abdomen-r/o pancreatitis vs hepatic lipidosis vs neoplasia vs other Muscle wasting despite good appetite-r/o malnutrition/starvation vs hyperthryoid vs paraneoplastic vs other P Add simbadol 0.3 ml SQ SID x 3 days Add cerenia 0.3 ml IV SID x 3 days metronidazole 50 mg/ml: 0.8 ml PO SID x 7 days Continue fluids, decrease rate to 5 ml/hr this evening Rec’d T4 Rec’d abdominal ultrasound prognosis: guarded to fair; suspect underlying undiagnosed systemic illness
Severe, non regenerative anemia, mild liver value elevations and mild-moderate azotemia on intake; discomfort on abdominal palpation noted on 10/4; treated with IVF @ 10 ml/hr x 48 hours, cerenia, metronidazole and simbadol S/O-changed age in computer to reflect geriatric status BAR, appears more interactive than previous exam good appetite mm pale pk, moist no nasal discharge OU-cloudy lens, open and clear purring loudly; gallop arrhythmia, grade III heart murmur; eupnic slightly tense on cranial abdominal palpation but appears more comfortable today than yesterday A Azotemia Mild liver value elevations Heart murmur Abdominal pain P d/c IVF CWCT Recd recheck chemistry
Recheck in medical for systemic illness (nonregenerative anemia, azotemia, dehydration), heart murmur S/O: QAR, mod. dehydrated – eating ok, urine in cage EENT: OU cloudy lens, pale pink MM, no nasal d/c H/L: grade III/VI heart murmur, gallop arrhythmia reported; eupnic MSI: emaciated BCS, amb x 4 ABD: soft, allowed palp. did no seem uncomfortable today A: dehydrated, hx of azotemia – emaciated BCS – heart murmur P: rec’ restart IV LRS x 24 hrs at 5 mls/hr + cont. with current tx
UA: Bld: neg BIL: neg UBG: neg KET: neg Glu: neg Pro: 1+ LEU: 3+ pH: 7 SG 1.016 PARAMETERS RESULTS REFERENCE RANGES RBC 5.23 M/ul 6.54-12.2 LOW HCT 16.7 % 30.3-52.3 LOW HGB 6.5 g/dl 9.8-16.2 LOW MCV 31.9 fL 35.9-53.1 LOW MCH 12.4 pg 11.8-17.3 MCHC 38.9 g/dl 28.1-35.8 HIGH RDW 24.6 % 15.0-27.0 %RETIC 0.3 % RETIC 17.3 K/uL 3.0-50.0 WBC 8.93 K/uL 2.87-17.02 %NEUT 68.8 % %LYM 15.8 % %MONO 7.2 % %EOS 7.5 % %BASO 0.7 % NEUT 6.15 1.48-10.29 LYM 1.41 0.92-6.88 MONO 0.64 0.05-0.67 EOS 0.67 0.17-1.57 BASO 0.06 0.01-0.26 PLT 129 151-600 LOW MPV 19.6 fl 11.4-21.6 PDW % PCT 0.25 % 0.0-0.79 Parameters Results Reference Ranges GLU 97 mg/dl 74-159 BUN 46 mg/dl 16-36 HIGH CREAT 2.1 mg/dl 0.8-2.4 BUN/Creat 22 PHOS 6.9 mg/dl 3.1-7.5 CA 9.8 mg/dl 7.8-11.3 TP 7.7 g/dl 5.7-8.9 ALB 2.8 g/dl 2.2-4.0 GLOB 4.9 g/dl 2.8-5.1 ALB/Glob 0.6 ALT 297 U/L 12-130 HIGH ALKP 167 U/L 14-111 HIGH GGT 2 U/L 0-4 TBILI 0.2 mg/dl 0.0-0.9 CHOL 201 mg/dl 65-225 Na 167 mmol/L 150-165 HIGH K 4.5 mmol/L 3.5-5.8 Na/K 37 Cl 123 mmol/L 112-129 Osm calc 341 mmol/kg #NAME?
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