PANTHER – A1003525

MANHATTAN CENTER

**RETURN**

PANTHER – A1003525

NEUTERED MALE, BLACK, AMER SH MIX,9 yrs
STRAY – ONHOLDAVAI, HOLD FOR ID Reason STRAY
Intake condition EXAM REQ Intake Date 08/22/2017, From NY 10035, DueOut Date 08/27/2017,

Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: 9 Microchip noted on Intake? yes History : stray in building Subjective: QAR, +/- hydrated, skin tents a bit, but could be from weight loss Observed Behavior – allows exam/treatment with minimal handling, a bit wary/shy Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective P = 120 R = 20 BCS; 3/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: some worn and broken dentition, no active periodontal disease noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: No masses, slighty doughy, but not painful on deep palpation. U/G: male castrated MSI: Ambulatory x 4, skin free of parasites, no masses noted, unkempt haircoat, dander present CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: a little thin, doughy abdomen, poor coat. rule out secondary to malnutrition vs other. Plan: recommend monitor appetite and attitude closely, if not eating well recommend full bloodwork including TT4. Prognosis: fair to good SURGERY: already altered
Weight 8.9

Medical:

Re-exam 8/25/17:

Hx: severe persistant hyperglycemia consistant with diabetes mellitus; reported to have episode of vomiting

 

S/O

QAR, docile, slightly lethargic

mm pk, tacky; CRT 2 sec

OU-open and clear

heart/lungs WNL

abdomen doughy, sl tense

underweight, mild diffuse muscle wasting

A

Diabetes mellitus

Dehydrated

Vomiting-suspect concurrent pancreatitis; r/o stress vs other

P

Continuoe on curent treatment

IVC, IVF @ 15 ml/hr

Glargine 1 U BID with food

cerenia 0.4 ml IV SID

rec’d BG curve in 10-14 days

 

Prognosis: fair to good; DM can often be well managed in cats with appropriate diet and insulin therapy; in many cases, there is a chance of converting to non insulin dependent diabetes

 

Re-exam 8/24/17:

Hx: severe persistant hyperglycemia consistant with diabetes mellitus; reported to have episode of vomiting this morning

S/O

QAR, docile, slightly lethargic

mm pk, tacky; CRT 2 sec

no nasal discharge or sneezing noted on exam or reported by staff

OU-open and clear

heart/lungs WNL

abdomen doughy, sl tense

underweight, mild diffuse muscle wasting

A

Diabetes mellitus

Dehydrated

Vomiting-suspect concurrent pancreatitis; r/o stress vs other

P

IVC, 50 ml bolus then continue at 15 ml/hr

Glargine 1 U BID with food

cerenia 0.4 ml IV SID x 3 days (or SQ if IVF d/c)

rec’d BG curve in 10-14 days

 

prognosis: fair to good; DM can often be well managed in cats with appropriate diet and insulin therapy; in many cases, there is a chance of converting to non insulin dependent diabetes

 

Re-exam 8/23/17:

Bloodwork review:

Hct 30%

WBF 19 k/ul, neutrophils 17 k/ul, monocytes 0.78 k/ul, eosinophils low (0.14 k/ul)  – R/O stress leukogram vs. infection

 

Chem: glucose 345, ALT 250.

Diabetes mellitus highly likely. Other explanations for hyperglycemia include stress, infection, stress, stress.

 

PLAN:

1. Move into medical

2. Check urinalysis or repeat blood glucose – if glucosuria or still hyperglycemic, start Lantus

3. Place IVC and start IVF at 10 ml/hr

 

 

DVM Exam 8/22/17:

Estimated age: 9

Microchip noted on Intake?  yes

History :  stray in building

Subjective:  QAR, +/- hydrated, skin tents a bit, but could be from weight loss

Observed Behavior –  allows exam/treatment with minimal handling, a bit wary/shy

Evidence of Cruelty seen – no

Evidence of Trauma seen – no

Objective

P =           120                R =         20                      BCS; 3/9

EENT:  Eyes clear, ears clean, no nasal discharge noted

Oral Exam:  some worn and broken dentition, no active periodontal disease noted

PLN:  No enlargements noted

H/L:  NSR, NMA, CRT < 2,    Lungs clear, eupnic

ABD:   No masses, slighty doughy, but not painful on deep palpation.

U/G:  male castrated

MSI:  Ambulatory x 4, skin free of parasites, no masses noted, unkempt haircoat, dander present

CNS:  mentation appropriate – no signs of neurologic abnormalities

Assessment: a little thin, doughy abdomen, poor coat. rule out secondary to malnutrition vs other.

Plan: recommend monitor appetite and attitude closely, if not eating well recommend full bloodwork including TT4.

Prognosis:  fair to good

SURGERY: already altered

 

Behavior:

ACTIVITY LEVEL: Laid back

VOCAL: Quiet

CHARACTER TYPE: Calm, Sweet

 

ENRICHMENT NOTES:

8/23/17- Resting right against the bars at the front, facing away.  Lay in place when door opened, soft posture.  Leaned into pets, never actually turned around.

 

EVALUATION:

Cage Condition: No change

Reaction to assessor: Panther remains neutral, lying down on his cage bedding during the approach.

Reaction to cage door opening: Panther remains in place, alert with soft eyes, ears erect and forward.

Reaction to touch: Panther accepts the touch, slowly leans into the assessor’s hand, but shows no further interest with the interaction.

Reaction to being picked up: Allows the pickup and remains immobile.

 

BEHAVIOR SUMMARY: Average

Panther interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.

 

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