QUAN – 22043
Gone - 3-6-2018 Manhattan
GONE 3/6/18 QUAN was brought to the shelter in rough shape. He was purring and allowed all handling. QUAN has a URI and is anemic and very dehydrated. He has several other conditions which need immediate vet care. Please help this poor boy today.
MANHATTAN CENTER
Quan 22043
Care Center Location: Manhattan
ZIP Code From: 10466
Intake Type: Stray
Medical Behavior: Green
Age: 5 years
Sex: Neutered Male
Weight: 6 lbs
DVM Intake Exam
Estimated age: 5y
Microchip noted on Intake? neg
Microchip Number (If Applicable):
History : stray
Subjective: Dull/depressed, minimally responsive, no resistance during PE. Purring.
Observed Behavior –
Evidence of Cruelty seen – n
Evidence of Trauma seen – n
Objective
T =
P = wnl
R = wnl
BCS 2/9
MM light pink and dry. Delayed skin turgor. Severely sunken eyes OU. 10% dehydrated
EENT: Mucopurulent dc and raised TEL OU. Dried black/brown dc completely covering both nares. Ears clear. Slightly icteric inner pinnae.
Oral Exam: Thick dry salivary secretions. Mild staining. Unable to open mouth.
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic, purring.
ABD: Non painful, no masses palpated. Ropey intestines
U/G: MN
MSI: Ambulatory x 4, skin free of parasites, no masses noted. Poor dirty malodorous healthy hair coat
CNS: dull/depressed, minimally responsive
Rectal: normal externally
Assessment
URI
Severe dehydration
Emaciated
Dull/depressed
Anemia — r/o destruction vs dec production vs inc loss
Icterus/hyperbilirubinemia – r/o likely prehepatic vs hepatic vs post hepatic
Anemia
neutrophilia with suspected bands
lymphocytosis
monocytosis
hyperglobulinemia
hypernatremia
low eosinophils and basophils
low creatinine
Prognosis: Guarded
Plan:
Med Iso
cbc/chem
place IVC
70mL LRS shock bolus followed by LRS @ 15mL/hr (120ml/kg/day). Decrease to 10ml/hr (~ 80ml/kg/day) at the end of the day.
start doxycycline 0.7mL PO SID x 10 days
start erythromycin OU BID x 10 days
start simbadol 0.4mL SQ x 3 days
nebulization BID x 5 days
Repeat cbc/chem tomorrow
Concerned that rehydrating p will worsen an already significant anemia. If persistent/worsening anemia, blood transfusion will likely be needed, and p will need to be transferred vs humane euthanasia
Monitor respirations
SURGERY: neutered
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 2018-03
