PENNY – 25421

Manhattan Center

Penny 25421 4W Brown Tabby M DSH

Stray: 4/16/18

Medical:

16-Apr-2018

 

Medical:

17-Apr-2018
DVM Intake
Vet Notes: 11:18 AM

DVM Intake Exam

Estimated age: 3-4 weeks based on dentition
Microchip noted on Intake? Scanned negative on intake

History : Finder knows the kitten’s mother and saw the kitten’s eye and took the kitten from mom to bring here

Subjective: Alert, mews, sits for petting and attention

Observed Behavior – Allows all handling

Evidence of Cruelty seen – None

Evidence of Trauma seen – None

Objective
BAR, estimated 5% dehydrated, BCS 1/9, MMs pale/white
EENT: OD large crusted mass over globe with purulent discharge – it appears that the eye ruptured and became infected. Pt shakes head frequently. OS mild crusty yellow discharge. Crusty yellow nasal discharge. Clean ears.
Oral Exam: Decid Is and C’s are partially erupted
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Soft, tucked up, non painful, no masses palpated
U/G: Male kitten
MSI: Covered in flea dirt. Ambulatory x 4, no masses noted.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally.

Assessment:
1. URI with ruptured OD and severe ocular/periocular infection
2. Emaciated
3. Large amount of flea dirt, suspect anemia

Prognosis: Fair

Plan:
1. Buprenorphine 0.04 ml SQ q8 hours x5 days
2. Erythromycin OU BID x10 days
3. Nebulize this morning
4. Sedate this afternoon to debride OD
5. Fortiflora
6. Doxycycline 0.1 ml PO SID x4 more days
7. Continue 20 ml SQF SID x3 days
8. Expect to enucleate in future, when pt is bigger, older and less flea-ridden

17-Apr-2018
Tech Exam
L V T Notes: 10:26 AM

According to feeding log, eating both KMR and cat food. Ate about 2ml each time fed. QAR. Administered 0.04ml Buprenorphine SQ per DVM 1088 and applied erythromycin to both eyes. Will set up in kennel and nebulize this AM.

16-Apr-2018
LVT Intake
L V T Notes: 10:37 PM

scan negative
about 4 weeks old male kitten
not eating own
QAR
dehydrated, underweight
MPOD, MPND; poss URI, Conjunctivitis
bulging of Rt eye
eyes and nose cleaned
fleas dirt
BCS 3/9
AMB x 4

spoke to Dr. 1088 and explained
Dr rec following tx plan:
20ml SQF
0.2ml Vit-B SQ
0.1ml Doxy PO
Erythrom eye oint OU
NOSF

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