POPPY – A0536689 aka MOLICIA – A1126547
Gone - 10-1-2017 Brooklyn
GONE 10/1/17 **NEEDS FOLLOW UP VET CARE! 14-Year Old Sweetie POPPY – A0536689 aka MOLICIA With Fracture, URI, Anemia NEEDS HELP ASAP!**
Brooklyn Center
POPPY – A0536689 aka Molicia A1126547 – 14 yr. female black/white cat, stray:
Medical::
09/29/17
Re-exam pelvic fractures (right iliac fracture and left sacroiliac luxation) and URI. Given convenia, simbadol, and LRS 9/25 and started on doxycycline. Started on enulose 9/28 for stool softener
9/25
Chemistry:
Glucose 184 (71-159), Cl 111 (112-129)
CBC:
WBC 47.47 (2.87-17.02), Neu 43.08 (1.48-10.29), HCT 16.8 (30.3-52.3), RBC 4.37 (6.54 – 12.2), HGB 5.4 (9.8-16.2), Retic 61.6 (3.0-50.0), PLT 633 (151-600)
S: BARH. No c/s/v/d. Wet food untouched. Growls with any handling and tries to bite. No u/bm in litter box but was already cleaned this morning
Objective
BCS 4/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: no oral exam due to behavior
PLN: No enlargements noted
H/L: No c/s, unable to auscult due to behavior
U/G: FI, no MGTs, no vulvar d/c
MSI: Ambulatory x 4 with hunched back and HL lameness, Muscle wasting hind limbs- pain on palpation of hind limbs, skin free of parasites, Multiple abrasions on bilateral hind limbs. Very painful when tries to stand and growls, diffuse alopecia especially on caudal dorsum
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment
Right iliac fracture and left sacroiliac luxation
Painful-resolved on simbadol
URI-improving
Moderate regenerative anemia
Alopecia
Plan:
Monitor for urine / bowel movements
Simbadol 0.24mg/kg SQ SID
Continue Doxycycline
Placed “feed dry food” sign
DTM
Wood’s lamp-negative
Prognosis: Fair
09/28/17
VET CHECK FOR PELVIC FX PAIN STATUS
URINE SEEN IN LITTER, NO FECES
QAR ADEQUATE HYDRATION WILL HISS AND GROWL WHEN MOVED
SITTING ON WET TOWEL, SEEMS TO BE URINE
PAT ABLE TO STAND WITH WEAK HIND LIMBS, WILL POSTURE TO DEFECATE, NO BM SEEN
ABDOMINAL PALPATION DOUGHY, NO IMPACTED FECES IN PELVIC CANAL OR AT ANUS
SOFT MODERATE BLADDER
A; PELVIC FX, NO IMPACTED FECES HOWEVER PET POSTURES TO DEFECATE WITH NO PRODUCTION ( NO FECES YESTERDAY)
P; CLEANED CAGE REPLACED BEDDING WITH SOFTLY PADDED BED
WILL ADD ON ENULOSE 1ML PO BID TO HELP EASE FECAL PASSING. MONITOR APPETITE
PROGNOSIS FAIR
09/27/17
Re-exam
PPHX: pelvic fractures (right iliac fracture and left sacroiliac luxation) and URI. Bloodwork indicates anemia. Has active URI as well. Defecated and urinated last night, kennel was already cleaned this morning during rounds so unsure if any further bowel movements overnight.
S/O: QAR, hydrated
EENT: mild serous nasal discharge, clear OU. No oral exam performed
H/L: 180, regular, no obvious murmurs, ssp. Lungs: congested (referred airway sounds), but eupnic
ABD: benign
MSI: painful, but able to stand, no change in coat.
U/G: female spayed, no mgts or dc
Neuro: no obvious deficits
PLN: wnl
A:
Pelvic fracture / SI luxation
URI
anemia
P: continue with treatment and supportive care. Consider orthopedic consultation.
S: Sneezing. BARH. No c/v/d. Likes to eat dry food, wet food untouched.
Objective
P = wnl R = wnl BCS 4/9
EENT: Eyes clear, ears clean, Serous nasal discharge noted
Oral Exam: no oral exam due to behavior
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic with audible congestion
U/G: FI, no MGTs, no vulvar d/c
MSI: Ambulatory x 4 with hunched back and HL lameness, Muscle wasting hind limbs- pain on palpation of hind limbs, skin free of parasites, Multiple abrasions on bilateral hind limbs. Very painful when tries to stand and growls
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment
Right iliac fracture and left sacroiliac luxation
Painful
URI
Moderate regenerative anemia
Plan:
Monitor for urine / bowel movements
Simbadol 0.24mg/kg SQ SID x5d
LRS SQ 100 ml SID x3d
Continue Doxycycline
Start onsior 2mg/kg SQ SID x3d
Placed “feed dry food” sign
Prognosis: Fair
09/26/17
Re-exam pelvic fractures (right iliac fracture and left sacroiliac luxation) and URI. Given convenia, simbadol, and LRS 9/25 and started on doxycycline.
9/25
Chemistry:
Glucose 184 (71-159), Cl 111 (112-129)
CBC:
WBC 47.47 (2.87-17.02), Neu 43.08 (1.48-10.29), HCT 16.8 (30.3-52.3), RBC 4.37 (6.54 – 12.2), HGB 5.4 (9.8-16.2), Retic 61.6 (3.0-50.0), PLT 633 (151-600)
S: Sneezing. BARH. No c/v/d. Likes to eat dry food, wet food untouched.
Objective
P = wnl R = wnl BCS 4/9
EENT: Eyes clear, ears clean, Serous nasal discharge noted
Oral Exam: no oral exam due to behavior
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic with audible congestion
U/G: FI, no MGTs, no vulvar d/c
MSI: Ambulatory x 4 with hunched back and HL lameness, Muscle wasting hind limbs- pain on palpation of hind limbs, skin free of parasites, Multiple abrasions on bilateral hind limbs. Very painful when tries to stand and growls
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment
Right iliac fracture and left sacroiliac luxation
Painful
URI
Moderate regenerative anemia
Plan:
Monitor for urine / bowel movements
Simbadol 0.24mg/kg SQ SID x5d
LRS SQ 100 ml SID x3d
Continue Doxycycline
Start onsior 2mg/kg SQ SID x3d
Placed “feed dry food” sign
Prognosis: Fair
09/25/17
DVM Intake Exam
Estimated age: approx 12 years
Microchip noted on Intake? Yes
History : Presents as stray- possible hit by car. Allows handling – vocalizes and hisses when palpated in areas where painful
Evidence of Cruelty seen – No
Evidence of Trauma seen – Yes
Objective
P = 196 R = 42 BCS 4/9
EENT: Eyes clear, ears clean, Green nasal discharge noted
Oral Exam: Moderate tartar, MM light pink, tacky
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Tense on abdominal palpation, Brusing noted on ventral abdomen, no masses palpated
U/G: No OVH scar noted / palpated
MSI: Ambulatory x 4, Muscle wasting hind limbs- pain on palpation of hind limbs, skin free of parasites, Multiple abrasions on bilateral hind limbs
CNS: mentation appropriate – no signs of neurologic abnormalities
Assessment
Hit by car- fracture of right ilium
URI
Moderate regenerative anemia
Chemistry:
Glucose 184 (71-159)
Cl 111 (112-129)
CBC:
WBC 47.47 (2.87-17.02)
Neu 43.08 (1.48-10.29)
HCT 16.8 (30.3-52.3)
RBC 4.37 (6.54 – 12.2)
HGB 5.4 (9.8-16.2)
Retic 61.6 (3.0-50.0)
PLT 633 (151-600)
Plan
CBC / Chemistry / T4
Sedated Abdominal / Pelvic Radiographs with Telazol – Fracture of right ilium- body wall appears intact with intact bladder, mild contusions of lungs
Monitor for urine / bowel movements
Simbadol Injection
LRS SQ 100 ml
Clean wounds with Novolsan
Convenia 80 mg/ml- 0.29 ml SQ
Doxycycline 50 mg/ml- 0.6 ml PO SID x 10 days
Prognosis: Fair
SURGERY:
Permanent waiver due to age
Enrichment::
09/26/17
Lying in back of kennel, body relaxed. She begins rolling around when spoken to, body soft and ears forward. Tolerates gentle petting along her head and shoulders while continuing to roll and beginning to growl. Conflicted behaviors. May be uncomfortable due to injury. Limited interaction due to injury. Sprayed feliway.
09/28/17
Lying in litterbox, body relaxed and feet stretched out in front of her. Ears are forward. She moves her head forward to smell my hand and then allows petting along her head and shoulders, leaning in while beginning to purr. I do not pet her along her back because of her fracture. She allows petting while purring for a few minutes, when she’s had enough she lifts her head and growls. May be uncomfortable with prolonged interaction because of her injury.
Behavior::
KNOWN HISTORY:
Poppy was brought in as a stray, so we cannot speak to her behavior in her previous home.
MEDICAL BEHAVIOR:
Allows handling – vocalizes and hisses when palpated in areas where painful
ENRICHMENT NOTES:
09/26/17
Lying in back of kennel, body relaxed. She begins rolling around when spoken to, body soft and ears forward. Tolerates gentle petting along her head and shoulders while continuing to roll and beginning to growl. Conflicted behaviors. May be uncomfortable due to injury. Limited interaction due to injury.
09/28/17
Lying in litterbox, body relaxed and feet stretched out in front of her. Ears are forward. She moves her head forward to smell my hand and then allows petting along her head and shoulders, leaning in while beginning to purr. I do not pet her along her back because of her fracture. She allows petting while purring for a few minutes, when she’s had enough she lifts her head and growls. May be uncomfortable with prolonged interaction because of her injury.
EVALUATION:
Cage Condition: Cage recently cleaned
Reaction to assessor: Poppy was curled up and lying down near the back of the kennel.
Reaction when softly spoken to: Poppy lifts her head up, ears tilt forward and she lip licks.
Reaction to cage door opening: Poppy lick licks and becomes focused on the assessor’s movements.
Reaction to touch: Poppy sniffs the assessor’s hand then leans forward and accepts gentle petting on her head. She appreciates attention, starts to purr and gives head butts when rubbed. It appears that she doesn’t like being touched along her body due to her medical condition and will vocalize to let you know when to stop.
ACTIVITY LEVEL: Laid back
VOCAL: Quiet
CHARACTER TYPE: Calm, Affectionate
Please note that Poppy is being treated for an upper respiratory infection at the time of the behavior assessment. This condition may affect some of the behaviors shown during evaluation.
Please note that this cat has a severe medical condition so we may not be seeing any true behavior and behavior may change when the cat’s medical condition improves.
RECOMMENDATIONS:
Experienced cat parent – Poppy may be a little more independent, and may need time to warm up to her new home. We recommend that this cat go to a home with experienced cat parents.
For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues. If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected]. Our experienced volunteers will do their best to guide you through the process. * We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.* For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions. For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/. You can call (212) 788-4000 for automated instructions.
View all entries in: Gone Cats 2017-10