PICO aka PICA – 22039
Safe - 3-11-2018 Brooklyn
SAFE 3/11/18 **NEEDS TRANSFER TO VET BY 6PM TODAY! Adorable Gray Kitty PICA Is Inappetant & Underweight!** 2 year old PICO was brought in because he has hind limb lameness and was thought to have been hit by a car. He does not seem to have fractures but has mild swelling on his right hind limb PICA needs a home asap with some TLC and follow up care.
BROOKLYN CENTER
Pica 22039
Care Center Location: Brooklyn
ZIP Code From: 11203
Intake Type: Stray
Medical Behavior: Green
Age: 2 years
Sex: Male
Weight: 5 lbs
ENRICHMENT NOTES:
03/04/18
Comes forward with tail raised. Allows petting along head and body while leaning in, body and face soft. Allows all petting with tail remaining in the air. Doing well despite medical condition!
11-Mar-2018
Progress Exam
Vet Notes: 8:58 AM
Progress exam
History : Stray intake 3/3, suspect HBC. Radiographs showed nsf (pelvic, HLs) except mild soft tissue swelling of right thigh. Given SQ LRS once and started on simbadol and onsior.
3/4 started on metronidazole and SQ LRS
3/5-Chem-nsf
T4-wnl (1.4)
3/6-sent to foster
3/8-returned from foster with persistent diarrhea and inappetence. Started in IVF, ponazuril, panacur, cerenia, B12 injections
CXR: nsf, AXR: subjectively thickened SI with irregular gas pockets, no obvious mass effect or obstruction, stomach and colon empty
Chem: nsf
CBC: mild lymphopenia, mild eosinopenia
3/9-started on fortiflora. Fecal negative. Tested light positive on 2 parvo snaps (suspect possible vaccine reaction)
Subjective: QAR, ~7% dehydrated. No csv but is still having multiple episodes of diarrhea inside and outside of litter box. He is eating a little bit of tuna but overall his appetite is poor. He seems to be declining.
Objective
P = WNL
R = WNL
BCS 3/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: clean adult dentition, no oral lesions, dry mm
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: MI
MSI: Ambulatory x 4, skin free of parasites, no masses noted, unkempt hair coat, cachexia MCS 1/3, underweight
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment:
Diarrhea
Cachexia
Decreased appetite
Underweight
Plan:
Continue panacur until 3/12
Last day of B12
Extend fortiflora PO BID x3d until 3/14
Extend cerenia 1mg/kg SQ SID x3d until 3/14
Continue metronidazole until 3/14
Start pradofloxacin 7.5mg/kg PO SID x7d until 3/18
Rec AUS
Continue IVF @100ml/kg/day
If no improvement rec EHR
Prognosis: Poor
VET 991416
10-Mar-2018
10-Mar-2018
Progress Exam
Vet Notes: 9:03 AM
Monitor condition – Initially presented 3/3 reported suspect HBC (no significant trauma found), also underweight with diarrhea; left with foster who reported persistent diarrhea and inappetance. Returned to shelter 3/8 – normal radiographs, mild inflammatory leukogram, tested light positive on parvo snap (likely from recent vaccination), fecal neg — started on IVF, ponazuril, panacur, vitamin B12, fortiflora, continuing metronidazole
S/O: BAR. Vocalizing at front of kennel. ~5-8% dehydration. Appears to have eaten some baby food overnight. Cat food appears untouched. Large pile of dark brown diarrhea in litterbox (no blood or mucous seen), small smear of green mucoid diarrhea with small amount of fresh blood on bedding.
EENT: Eyes clear, no ocular or nasal discharge, pink moist mm (slight hypersalivation), minimal dental staining, ears WNL
HL: Normal thoracic auscultation, no sneezing
ABD: Soft, non tender
INTEG: Full coat
MS: Ambulatory x 4
UG: Male
A: Diarrhea, underweight, decreased appetite
P: Continue LRS @ 10ml/hr. Continue panacur, vitamin B12, fortiflora. Continue metronidazole 0.35ml PO q12 x 5 days, cerenia 0.23ml SQ q24 x 2 days. Monitor daily.
VAA 991456
9-Mar-2018
Progress Exam
Vet Notes: 12:52 PM
Monitor condition – hx of inappetance and diarrhea, normal radiographs, mild inflammatory leukogram — started on IVF yesterday evening, ponazuril and panacur given
S/O: BAR. ~5-8% dehydration. Very active in cage. Pile of loose diarrhea with small amounts of blood and mucous throughout, normal urine, in litterbox. Small pile of soft but formed stool with no blood or mucous seen outside litterbox. Wet and dry food untouched. Offered tuna fish, ate with excellent appetite. No vomiting.
EENT: Eyes clear, no ocular or nasal discharge, pink moist mm, CRT <2seconds, teeth clean, ears WNL
HL: No sneezing, normal RR/RE
ABD: Soft, non tender, minimal contents
INTEG: Full coat
MS: Ambulatory x 4
UG: Male
Tested light positive on two parvo snap tests
Fecal exam negative for parasites
A: Dehydration, diarrhea, minimal interest in cat food; Hx of suspect trauma 3/3
Suspect vaccine reaction as cause of positive parvo snap based on history and CBC findings
P: Recommend continuing with current treatment and monitoring plan – LRS @ 10ml/hr. Continue with panacur and metronidazole. Fortiflora given in tuna. Continue with fortiflora q24 x 3 days and vit B12 0.25ml SQ q24 x 3 days. daily monitoring
VET 990844
8-Mar-2018
Foster Intake
Vet Notes: 5:13 PM
Hx of possible HBC 3/3, no fractures seen, mild lameness only, also underweight, dehydrated; left for foster 3/6, foster reports inappetance and persistent diarrhea
New wt 5.2#
S/O: BAR. ~8% dehydration. No interest in food. Allows all handling for exam but difficult to handle for blood draw/IVC placement
EENT: Eyes clear, no ocular or nasal discharge, pink mm, mild dental staining, started hypersalivating during exam
HL: Normal thoracic auscultation
ABD: Soft, non tender
INTEG: Slightly dull, full coat
MS: Ambulatory x 4
UG: Male
A: Underweight, diarrhea reported — R/O heavy parasite burden vs other
P: Started on LRS 15ml/hr – to be turned off at 8P. Panacur 1.1ml PO and ponazuril 1.25ml PO given. Cerenia 0.23ml SQ and vitamin B12 0.24ml SQ given by LVT. Continue panacur 1.1ml PO q24 x 4 days. Scheduled fecal.
VET 990844
8-Mar-2018
Blood Work Interpretation
Vet Notes: 4:45 PM
chem panel WNL
CBC: no anemia HCT 47%
reticulocytes suspected and NRBCs seen
bands suspected,normal neut cell count 6,000
mildly decreased lymph and EOS
PLT 17,000 clumped with absolute number low
inflammatory leukogram
VET 991204
8-Mar-2018
Radiograph Review
Vet Notes: 4:43 PM
presented from foster for diarrhea
whole body XR:
right lat and VD
thorax: cardiac silhouette normal in size and shape, pulmonary tissue normal. Vasculature attentuated
abd: good serosal detail empty stomach prominent gastric rugae seen, normal axis. Intestinal loops uniformly thickened, irregular gas pockets thoughout. No gas dilation seen.
assessment chronic GE r/o parasitic, or other infectious vs inflammatory.Dehydration otherwise normal thorax
VET 991204
7-Mar-2018
6-Mar-2018
Medical Assistant: 3:48 PM
Dispensed Metronidazole 100 mg/ML 3/6/2018 — MVTC — 1453
6-Mar-2018
Progress Exam
Vet Notes: 9:32 AM
Recheck HL lameness, cachexia, diarrhea
S/O: BARH. Very active, attention seeking, allows all handling. Food available. Normal urine in litter. No stool seen
EENT: Pink mm, eyes clear, no ocular or nasal discharge
HL: No sneezing, normal RR/RE
INTEG: Full coat
MS: Ambulatory x 4, no lameness noted, thin BCS
UG: Male
A: Suspect HBC – hind end lameness resolved
Underweight; on treatment for diarrhea
P: Continue with current treatment and monitoring plan. Excellent prognosis
VET 990844
5-Mar-2018
LVT-E 991059
5-Mar-2018
5-Mar-2018
Progress Exam
Blood Work Interpretation
Vet Notes: 9:15 AM
Progress exam
History : Stray intake 3/3, suspect HBC. Radiographs showed nsf (pelvic, HLs) except mild soft tissue swelling of right thigh. Given SQ LRS once and started on simbadol and onsior.
3/4 started on metronidazole and SQ LRS
Subjective: BARH. Eating well. Diarrhea in the litter box with normal U. Ataxia/lameness has improved.
Objective
P = WNL
R = WNL
BCS 3/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: clean adult dentition, no oral lesions
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: MI, 2 testicles descended
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, cachexia MCS 2/3
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment:
Suspect HBC – Hind limb lameness-improved
Diarrhea
Cachexia
Plan:
Last day of simbadol and SQ LRS
Continue metronidazole 15mg/kg PO BID until 3/9
CBC-delayed due to machine error, will need to run at a future time
Chem-nsf
T4-wnl (1.4)
Prognosis: Excellent
VET 991416
4-Mar-2018
4-Mar-2018
Progress Exam
Vet Notes: 9:21 AM
Progress exam
History : Stray intake 3/3, suspect HBC. Radiographs showed nsf (pelvic, HLs) except mild soft tissue swelling of right thigh. Given SQ LRS once and started on simbadol and onsior.
Subjective: BAR, ~5% dehydrated. No csv but has diarrhea in the litter box. Eating well.
Objective
P = WNL
R = WNL
BCS 4/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: adult dentition, no oral lesions
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: MI, 2 testicles descended
MSI: Ambulatory x 4 with mild hind end lameness bilaterally, swelling of right thigh, skin free of parasites, no masses noted, healthy hair coat, cachexia MCS 2/3
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment:
Suspect HBC – Hind limb lameness
Cachexia
Dehydration
Plan:
Continue simbadol until 3/5
Last day of onsior
Start metronidazole 15mg/kg PO BID x5d until 3/9
Start SQ LRS 20ml/kg SID x2d until 3/5
BW scheduled
Prognosis: Excellent
VET 991416
3-Mar-2018
Spay-Neuter Waiver Documentation
Vet Notes: 11:06 AM
[Spay/Neuter Waiver – Medical Condition]
Your newly adopted is currently temporarily waived from the spay/neuter requirements of the City of NY by the staff veterinarians due to lameness. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.
VET 990844
3-Mar-2018
DVM Intake
Radiograph Review
Vet Notes: 10:58 AM
DVM Intake Exam
Estimated age: ~1-2yrs
Microchip noted on Intake? No
History : Stray, suspect HBC
Subjective: BARH
Observed Behavior – Active, attention seeking, allows all handling
Evidence of Cruelty seen – No
Evidence of Trauma seen – Yes
Objective
P = WNL R = WNL BCS 5/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: Mild dental staining, pink mm
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Male
MSI: Ambulatory x 4, mild hind end lameness, swelling of right thigh, skin free of parasites, no masses noted, healthy hair coat
CNS: mentation appropriate – no signs of neurologic abnormalities
Radiographs: All long bones and pelvis intact, no fractures or dislocations seen. Mild swelling of right thigh
Assessment: Suspect HBC – Hind limb lameness (R>L), no fractures seen
Plan: Simbadol 0.36ml SQ given at time of exam. Continue simbadol for 2 more days. Also adding onsior 0.25ml SQ q24 x 2 days, LRS 100ml SQ once. Continue to monitor while at BACC.
Prognosis: Excellent
SURGERY:
Temporary waiver due to lameness
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View all entries in: Safe Cats 2018-03