PANTHER – A1003525
Gone - 8-27-2017 Manhattan
GONE 8/27/17 ** RETURN** Handsome cat Panther could really use some help **WILL NEED FOLLOW UP VET CARE** @MACC. 9 year old PANTHER is a return to the shelter. He was reported to be a “stray in a building”. Needs rescue.
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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