PONTRELLI – A1114994
Safe - 6-17-2017 Brooklyn
SAFE 6/17/17 **NEEDS FOLLOW UP VET CARE FOR WOUND! 5-Year Old Black Kitty – Posh PONTRELLI at BACC!**
Brooklyn Center
Pontrelli A1114994 – 5 yr. male black cat, stray:
DVM Intake Exam
Estimated age: 5years
Microchip noted on Intake? none
History : STRAY CAT. A penrose drain was placed on the doral part of the neck. Treated with with convenia, sq fluids, and simbadol.
Subjective: MAle intact stray cat with a drain on the dorsal part of the neck
Observed Behavior – Fractious. Growling. Trying to flee. Trying to scratch
Evidence of Cruelty seen – None
Evidence of Trauma seen – drain on the dorsal part of the neck.
Objective
P = 160 R = eup BCS 5/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: Not examined due to behavior.
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Intact male
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: mentation appropriate – no signs of neurologic abnormalities
Rectal: none
Assessment
wound
Plan
Flush drain and remove on day 4
Prognosis: Fair
Placement- Rescue group
Temporary waiver due to recently intubation and wound on the neck
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View all entries in: Safe Cats 2017-06