PIXIE – 33390

Brooklyn Center (Previously at Staten Island Center)

*RETURN*

Pixie  33390

Intake: 9/1/18

Medical:

Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
4-Sep-2018
Progress Exam
Vet Notes: 12:59 PM

Progress exam

History : Original intake 7/6/18-obese with dental disease. 9/1-owner surrender reported ot be losing weight. Gave SQF, cerenia, clavamox, and metronidazole. Started nebulization.

CBC: mild anemia (Hct 28.9), mild neutrophilia (13.62)
Chem: Mild to moderate elevation in ALT (236) with mild to moderate elevation in GGT (7) and moderate to severe elevation in ALKP (469) and moderate to severe hyperbilirubinemia (6.8)

Subjective: QARH. Allowed all handling. Not interested in food. No csvd.

Objective
P = wnl
R = wnl
BCS 7/9
EENT: Eyes clear, ears clean, no ocular or nasal d/c
Oral Exam: icteric gums, moderate dental disease
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: FS, no MGTs, no vulvar d/c
MSI: Ambulatory x 4, skin free of parasites, no masses noted, severely icteric pinna, guma, sclera, and overall skin
CNS: Mentation appropriate – no signs of neurologic abnormalities

Assessment
1) Elevated LES/hyperbilirubinemnia- r/o pre-hepatic (less likely- hemolysis from mycoplasma or IMHA) vs hepatic (cholangiohepatitis v lymphocytic portal hepatitis v hepatic lipidosis v neoplasia) v post-hepatic (mucocele, choleliths, cholangitis, neoplasia)
2) Dehydration-improved
3) URI

Prognosis: guarded longterm prognosis

Plan:
Extend LRS 100mls SQ SID until 9/7
Extend maropitant 1 mg/kg SQ SID until 9/7
Continue Clavamox 13.75 mg/kg PO BID until 9/15
Continue metronidazole 10 mg/kg PO BID until 9/8
Start syringe feeding BID (scheduled until 9/8)
Seek placement ASAP- needs further supportive care (fluids, enteral support), AUS, e-tube
VET 991416

1-Sep-2018
DVM Intake
Vet Notes: 5:10 PM

[DVM Intake]
DVM Intake Exam

Estimated age: 5 years
Microchip noted on Intake? Yes
Microchip Number (If Applicable): 985113001872893

History : owner surrender

Subjective: QAR. ~5-6% dehydrated. Sneezing. No cvd. Ate a small amount of a/d

Observed Behavior – Allowed all handling

Evidence of Cruelty seen – no

Evidence of Trauma seen – no

Objective

T = 100.3F
P = 200bpm
R = eup
BCS 7/9

EENT: Eyes clear, ears clean, mild serous nasal discharge, no ocular discharge noted
Oral Exam: icteric gums, mild dental tartar
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Mild to moderate stertor. Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: FS. No MGT palpated. No discharge
MSI: Ambulatory x 4, skin free of parasites, no masses noted, moderately icteric skin
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally

CBC: mild anemia (Hct 28.9), mild neutrophilia (13.62)
Chem: Mild to moderate elevation in ALT (236) with mild to moderate elevation in GGT (7) and moderate to severe elevation in ALKP (469) and moderate to severe hyperbilirubinemia (6.8)

Assessment
1) Elevated LES/hyperbilirubinemnia- r/o pre-hepatic (less likely- hemolysis from mycoplasma or IMHA) vs hepatic (cholangiohepatitis v lymphocytic portal hepatitis v hepatic lipidosis v neoplasia) v post-hepatic (mucocele, choleliths, cholangitis, neoplasia)
2) Dehydration
3) URI

Prognosis: guarded

Plan:
Start LRS 100mls SQ SID until 9/4
Start maropitant 1 mg/kg SQ SID until 9/4
Start Clavamox 13.75 mg/kg PO BID x 14d
Start metronidazole 10 mg/kg PO BID x 7d
Seek placement ASAP- needs further supportive care (fluids, enteral support), AUS
If declines over the next few days (ie not eating, more lethargic)- consult on call vet
VET 991524

1-Sep-2018
LVT Intake
L V T Notes: 4:31 PM

As per Dr 1524
Administered 100ml LRS SQ
CERENIA 0.46ml SQ
Clavamox 1.3ml po
metronidazole 0.5ml po
Nebulized
LVT 991397

1-Sep-2018
LVT Intake
L V T Notes: 1:58 PM

Scan positive

Icteric (pinnae, mm’s)
Nasal discharge/congested
Lost 5lbs in one month (cat was here one month ago)

As per Dr.1524
Sent to BACC for dvm exam

bloodwork run
Elevated ALT, ALKP, GGT, TBIL
LVT-E 990780

6-Jul-2018
DVM Intake
Vet Notes: 5:35 PM

[DVM Intake]
DVM Intake Exam

Estimated age: 5 years

History : came from a home with an elderly owner who is too ill to care for her

Subjective:

Observed Behavior – friendly

Evidence of Cruelty seen – no

Evidence of Trauma seen – no

Objective

BCS 8/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: mild/moderate dental calc and gingivitis
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: Female spayed, spay scar seen
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities

Assessment
obese
mild/moderate dental disease

Prognosis: good

Plan:

Recommend to feed wet food only twice daily to help with weight loss
VET 991385

5-Jul-2018
LVT Intake
L V T Notes: 3:46 PM

Scan negative
BARH
AMBx4
Friendly,allowed handling
Spayed~5yrs
Obese
Mild gingivitis/tartar
no fleas seen
Nosf

 

 

Profile:

Animal ID: 33390
Animal Name: Pixie
Breed: Domestic Short Hair
This animal came from:
Friend
Origin Address
Donley Avenue
Spay/Neuter status
Unknown
Date of Intake
5-Jul-2018
Basic Information:
Pixie is a 5yr old female cat that was surrendered due to her owner being put in a nursing home.
Previously lived with:
1 adult and 1 cat
How is this cat around strangers?
Pixie is friendly and affectionate
How is this cat around children?
Information is unknown
How is this cat around other cats?
Pixie is respectful around other cats
How is this cat around dogs?
Pixie is fearful of dogs
Bite history:
There is no known bite history
Energy level/descriptors:
medium
Has this cat ever had any medical issues?
No
Medical Notes
Pixie has no known medical issues
For a New Family to Know
Pixie is a sweet cat. She is described as shy at first but then she warms up. She is an affectionate cat who gets along well with other cats.

*********************************************************************************************************

PREVIOUS INFO:

WAS SAFE 7/10/18

STATEN ISLAND CENTER

Pixie 33390

Location: Staten Island

Intake Date: 7/5/18

Intake Type: Stray

Medical Behavior: Green

Sex: Spayed

Age: 5 years

Original Location: 10306

Scan negative
BARH
AMBx4
Friendly,allowed handling
Spayed~5yrs
Obese
Mild gingivitis/tartar
no fleas seen
Nosf

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