ORZO – 15068
Safe - 1-6-2018 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
*** SAFE 01/06/18 *** ***6 Month Quarantine*** Beginner Boy Orzo will warm your soul this cold winter night @MACC. Orzo came to us as a stray and has bites of unknown origin. Orzo requires a 6 month in-home isolation period with the first month preferably in a veterinary hospital. If leaving the 5 boroughs, quarantine MUST be approved by the receiving city or township DOH. Please note, the 5 boroughs are easier for in home quarantine.
Manhattan Center
Hello, my name is Orzo. My animal id is #15068. I am a male white cat at the Manhattan Animal Care Center. The shelter thinks I am about 3 years 1 weeks old. –
I came into the shelter as a stray on 30-Nov-2017.
Orzo is being placed at risk due to medical condition, bite wounds of unknown origin. Orzo will require a 6 month observation and monitoring/daily care of his wounds. He should likely be evaluated by a vet and then will most likely be able to be treated in home. There are no behavior concerns for Orzo at this time, beginner determination.
My medical notes are…
Weight: 7.625 lbs
Gave 0.07 ml of Butorphanol and 0.07 ml of Dexdomitor IM as per DVM Cat placed under O2 and iso for support sedation Wound on the back been shaved and cleaned with NaCl Gave Simbadol o.45 ml sq as per DVM IVC been placed LF paw,22 gauge Gave Baytril 22.7 ml 0.75 ml with dilution 1:4 with Nacl LRS fluid rate been set up as 9 ml/hour as per DVM
gave 0.45cc of simbadol 1.8mg/ml at 11:25am as per 0557. given by 0811
Orzo was scheduled for an AM treatment of Simbadol 1.8mg/mL gave 0.45mL From bottle #37. 8:40AM DVM 1382 given by 1215
Orzo was scheduled for an AM tx of Simbadol 1.8mg/mL. Gave 0.45mL SQ from bottle number 38 at 8:15 AM. DVM 1382 1215
Orzo was scheduled for an AM treatment of Simbadol 1.8mg/mL. Gave 0.45mL from bottle #38 at 8:18AM. DVM: 1088 Given by: 1215
Replaced IVC. 24g IVC placed in RF cephalic vein. LRS running at 20ml/hr.
Orzo was scheduled for an AM tx of Simbadol 1.8mg/mL. Gave 0.45mL SQ at 8:20AM from bottle #39 DVM 1382 Given by: 1215
FVRCP given RFL
Orzo was scheduled for an AM tx of Simbadol 1.8mg/mL. Gave 0.45mL SQ at 8:40AM from bottle #39 DVM:1443 Given by: 1215
Pulled catheter per Dr. 0577 cleaned ears and instilled Tresaderm per Dr. 0577 1313
DVM Intake Exam Estimated age: mature adult, ~ 3 yrs Microchip noted on Intake? History : found stray, injured Subjective: Quiet, dull, mod. depressed Observed Behavior – calm, tried to flee during exam, mod. fractious when handling (has painful injury) Evidence of Cruelty seen – no Evidence of Trauma seen – yes, extensive amount of draining/infected bite wounds over hind end/tailbase region, reluctant to stand Objective T: 101.3 HR/RR elevated, during PE, painful/fearful BCS 3/9 EENT: OU mild mucoid ocular d/c; AU mild dark dry debris, pruritic; no nasal Oral Exam: nsf PLN: inguinal LN enarlarged, thickened amount of tissue palp. at right inguinal region/cellulitis vs other H/L: nsf; NSR, NMA, CRT < 2; Lungs clear ABD: soft, tense; no masses palp. under sedation U/G: intact male, small bladder palp.; reported urinated overnight MSI: Ambulatory x 4, was able to walk x 4 but seemed very reluctant/painful to move, decreased range of motion to right rear leg and decreased mobility of tail at base, thickened amount of ST palp. medial to right rear leg at inguinal region/cellulitis inflamed tissue due to infection vs other; flea dirt + presumed ear mites *Skin wounds/bite wounds: multiple infected penetrating skin wounds (~ 1-2 cm in diameter) covering left and right side of hind-end/tail-base region with a large infected draining wound at the right flank (~2 cm in diameter), all appear to be days to weeks old and draining purulent material CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: externally normal A: intact mature adult stray/feral male cat – dehydrated, skinny BCS; flea dirt, presumed ear mites – multiple infected bite wounds to hind-end/tail base – decr. ROM in right rear left and proximal tail Tx: sedated with 0.7/0.7 ml DexDom/Torb, maint. mask ISO/O2; clipped/cleaned wound site, flushed copiously with sterile saline and left open to drain at this time P: supportive care, monitor appetite and recheck wounds daily – LRS IV 9 ml/HR for the next 24-48 hrs and reassess – Bayrtil 0.75 ml IV SID x 5 days – Clavamox 0.8 ml PO BID x 14 days (begin if awake/eating this afternoon) – Simbadol 0.45 ml SQ SID x 5 days – recommend wait on intake vaccinations until deemed stable Px: fair/open – depending on response to tx/wound management SURGERY: Temporary waiver due to health/wounds
Recheck in medical for extensive infected bite wounds over hind end: T: 102.7 (axial) S/O: QAR, mildly dehydrated – no c/s no v/d; eating wet food/drinking well; urine/feces in litter this AM – IV cath. intact/patent – wounds still producing mod amount of purulent discharge, sensitive to touch Tx: gently cleaned around and flushed wounds with saline; cleaned ears A/P: IV LRS incr. to 12 ml/hr – rec’ sedation, flush wounds and evaluate for partial closure/drain placement
S/O BAR, very friendly painful and sensitive in the hind limbs. EENT: mild mucoid ocular d/c OU; AU moderate crusty dark dry debris OU, no nasal dc Oral Exam: light pink MM, mild tartar H/L: Grade I parasternal HM, NSR, Lungs clear and eupneic. MSI: Ambulatory x 4 with abnormal gait, full neuro/ortho exam not performed. *Skin wounds/bite wounds: multiple infected penetrating skin wounds (~ 1-2 cm in diameter) covering R>L of hind-end/tail-base region with dried purulent discharge, few deep 1-2 cm diameter open wounds with purulent drainage caudal to larger wounds. mild to moderate granulation tissue, flea dirt and dead fleas. unthrifty haircoat. Rectal: externally normal U: testicles symmetrical and descended A: intact mature adult male cat – thin body condition -Fleas -Suspect ear mites -Multiple infected bite wounds to hind-end/tail base – healing Tx: CBC/Chem prior to sedation Sedated with 0.1/0.7 ml/0.14 ml DexDom/Torb/valium, maint. mask ISO/O2; clipped/cleaned wound site, flushed copiously with warm sterile saline and chlorhexidine solution. Debrided all the open wounds until active bleeding was achieved. Freshened all wound edges. Unable to produce any pocketing with a hemostate. Left all wounds open to continue draining. Pelvic xrays Dex SP 0.1 ml IV Continue rest of treatments
BW interpretation CBC: Hct 36.3%, elevated MCV,MCH, MCHC — susp reg anemia. rest Wnl Chem: low creat, Low Ca, low Ab (r/o PLE vs PLN vs other), mild elevate GGT.
Rad interpretation Thorax lateral: diffuse bronchial pattern Abd lateral : decrease serosal detail, gas above the sacrum with suspect abnormality of the dorsal sacral crest. gas in the colon.
Hx: necrotic bite wounds and suspected coccygeal disk herniation; wounds debrided and given dexamethasone injection yesterday; IVF running at 12 ml/hr; other treatments include baytril IV, clavamox and simbadol S/O -QAR, docile and sweet -good appetite, light brown diarrhea in box -mm lgt pk, tacky; CRT <2 sec -no nasal discharge -OU: mild blepharospasm, mild crusting d/c at medial canthus -eupnic, heart/lungs WNL -soft abdomen -ambulatory with mild paraparesis but appears significantly improved from yesterday -debrided wounds along caudal dorsum: all tissue appears viable with granulation tissue forming; moderate amount of serosanguinous discharge, mild swelling along area A 1. Suspected bite wounds, severe but healing well 2. Paraparesis, suspect related to collapsed coccygeal disk space; r/o traumatic IVDD vs other; improving P Gabapentin 0.7 ml PO BID Cerenia 0.4 ml IV SID x 2 days CWCT, consider switching to oral baytril on 12/6
Hx: Admitted 11/30/17 with right hind limb lameness and deep infected wounds over hindquarters. Rads show collapsed disc space in coccygeal region. On 12/1, the wounds were shaved and cleaned; pt was started on Simbadol, IVF, Baytril, Clavamox. Cerenia and gabapentin were added on 12/4. S: Sleeping on approach to kennel, walks around and allows all handling but struggles during wound care and IVC care. O: QAR, estimated 8% dehydrated, BCS 2/9. EENT: Mild mucoid ocular discharge. Mild staining on teeth but no significant tartar. H/L: Eupnic, not ausculted Abd: Soft, nonpainful M/S/I: Amb x4 but ataxic/lame on hind legs. Reluctant to lift tail. Multiple wounds on caudal dorsum, larger on right side than left – wounds are full-thickness with visible granulation tissue, mild moist discharge and a large amount of scabbing. Minimal swelling. IVC in left front leg – not patent, fluids are leaking all over pt’s paw. UG: Male intact A: 1. Wounds – healing slowly; would heal faster if covered and kept moist 2. Emaciated 3. Collapsed coccygeal disc space – R/O chronic lesion vs. related to bite wounds 4. Dehydrated, IVC not patent P: 1. Replace IVC today 2. Increase IV LRS from 12 ml/hr to 20 ml/hr for the day; decrease to 12 ml/hr overnight if hydration improves 3. Place SSD and Tegaderm bandage over wounds – replace this daily or anytime it falls off 4. Change Baytril to oral – 0.75 of a 22.7 mg tab SID, starting tomorrow (pt already received today’s dose IV) 1088
S/O -BAR, interactive and friendly, allows all handling -great appetite, no diarrhea noted -mm pk/lgt pk, moist; CRT <2 sec -no nasal discharge or sneezing -OU: mild blepharospasm, possible mild entropion, mild mucoserous discharge -eupnic, heart/lungs WNL -soft abdomen -ambulatory with mild paraparesis -multiple wounds over caudal dorsum, previously debrided; tagaderm cover falling off; good granulation tissue forming over large wound on L caudal dorsum; mild mucoid discharge from wound on caudal aspect of L thigh, tagaderm bandage hanging off of this area; wounds overall appear to be healing well A Bite wounds Paraparesis, mild; suspect secondary to traumatic coccygeal disk herniation P Okay to switch to oral baytril Continue IVF at 10 ml/hr Prednisolone 2.5 mg PO SID x 3 days, then EOD x doses
Hx: Admitted 11/30/17 with right hind limb lameness and deep infected wounds over hindquarters – resolved lameness and there is scab formation over lumbar area Rads show collapsed disc space in coccygeal region S: At front of kennel and very social. eats well, IVC in place, polydactyl forepaws O: BAR, BCS 2/9. EENT: clear ou/au. minimal tartar H/L: Eupnic, no HM Abd: Soft, nonpainful M/S/I: Amb x4 with plantigrade stance. Multiple wounds over lumbar area UG: Male intact A: 1. Wounds – healing 2. Emaciated 3. Collapsed coccygeal disc space – R/O chronic lesion vs. related to bite wounds P: 1. Continue IVC today and re-assess tmrw if can d/c; eating well, still emaciated 2. continue on supportive medications
S/O -QAR/BAR -great appetite -liquid brown diarrhea noted in box, has had 1-2 episodes over the last 3 days -abdomen soft and nonpainful A Diarrhea-r/o secondary to meds vs stress and/or diet change vs parasites P metronidazole 50 mg/ml: 1 ml PO BID x 5 days
Diarrhea noted in kennel this morning S: Alert, allows handling, walks around kennel O: Wounds healing well; thick scab over all wounds with no swelling, erythema or discharge Ataxia not noted today IVC is not flowing; there is blood backed up into the T-port and the paw is moderately swollen. A: Bite wounds over dorsal lumbar region Collapsed coccygeal disc space Diarrhea – R/O secondary to steroids vs. secondary to antibiotics vs. other P: 1. Pull IVC and do not replace 2. Add famotidine 10 mg/ml 0.4 ml SQ SID x5 days 3. Recommend surgical debridement and placement of tie-over bandage or other bandage 1088
Recheck in medical for healing bite wounds and loose stool/diarrhea: S/O: QARH BCS 3/9 – e/d well, urine in litter – no c/s no v, no diarrhea observed this am – AU mod amount of dry, yellow-ish crusting discharge, pruritic – wounds are stable, healing well, minimal swelling/no discharge, scab forming over larger wound at right flank – amb x 4, no ataxia appreciated – mentation appropriate A: healing bite wounds – stable – hx of ataxia (r/o collapsed coccygeal disc space/ataxia) – improving/stable – hx of diarrhea – improving/stable P: cont. with current tx
Animal was admitted around 8.30pm last night 11/30. Patient was stable but did have some wounds on hindquarters and palpation seemed painful. called on-call vet and Dr 1088 recommended Onsior 6mg tablet, which was administered at 9.15pm. Patient was set up in medical for DVM exam in the AM. 1429
Details on my behavior are…
Behavior Condition: 1. Green
Due to condition upon intake, Orzo was not handled much. Orzo allowed being collared.
KNOWN HISTORY:: Orzo was brought in as a stray so we cannot speak to his behavior in his previous home.
MEDICAL BEHAVIOR:: Sleeping on approach to kennel, walks around and allows all handling but struggles during wound care and IVC care.
ENRICHMENT NOTES:: 12/3/17 Resting on bedding at front, soft eyes and body. Stood on approach, started rubbing against the bars. Leaned and arched into pets, purred. Resumed rubbing on bars after door closed. 12/4/17 Dozing on bedding, soft eyes and body. Perked up when door opened. Lay in place, leaned hard into pets, purred. Ate treats from my hand. Very hungry! 12/5/17 Resting at front, soft eyes and body, a little sleepy. Lay in place when door opened, leaned into pets, sat calmly when held.
Cage Condition:: Cage is neat
Reaction to assessor:: Orzo lays on his bedding, looking at the assessor with soft eyes and body.
Reaction when softly spoken to:: Orzo continues to look at the assessor.
Reaction to cage door opening:: Orzo remains calm and relaxed.
Reaction to touch:: Orzo lays in place, leans into the stroke, and purrs.
Reaction to being picked up:: Orzo sits calmly in the assessor’s arms and looks around.
ACTIVITY LEVEL:: Mellow
VOCAL:: Quiet
CHARACTER TYPE: : Calm,Sweet,Affectionate
POTENTIAL CHALLENGES:: None
BEHAVIOR DETERMINATION: : Beginner
Behavior Asilomar: H – Healthy
RECOMMENDATIONS:: None
BEHAVIOR SUMMARY:: Orzo interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
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