REX – A1123581
Safe - 9-2-2017 Manhattan Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
*** SAFE 09/02/17 *** REX is in need of medical attention ASAP!! He has a large avulsion on right side of face! Full-thickness avulsion, flap is 5×8 cm, attached cranioventrally. Please help REX get the care that he needs.
Manhattan Center
My name is REX. My Animal ID # is A1123581. – P
I am a male gray and white domestic sh mix. The shelter thinks I am about 5 YEARS old.
I came in the shelter as a STRAY on 08/28/2017 from NY 10453, owner surrender reason stated was STRAY.
08/31/2017 AT RISK MEMO
Rex A1123581 is at risk due to medical condition. Please see exam notes below.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
08/31/2017 Exam Type RE-EXAM – Medical Rating is 4 C – SEVERE CONDITIONS , Behavior Rating is NONE, Weight 10.0 LBS.
Hx: Large necrotic wound on R side of face. On Simbadol, Onsior, Clavamox – sedated yesterday for debridement. CBC/chemistry showed moderate to severe non-regenerative anemia, severe neutrophilia, mild monocytosis, elevated globulins (6.7). S/O good appetite BAR, regresses when approached but allows gentle handling mm pk, moist no nasal discharge OU-moderate to severe blepharospasm, increased epiphora large ulcerated wound on R side of face, good granulation bed present, crusting along edges; no significant discharge, mild swelling; appears comfortable A large facial wound-healing well conjunctivitis OU P add erythromycin CWCT prognosis: good
08/28/2017 PET PROFILE MEMO
08/28/17 19:51 Basic Information Rex was surrendered stray. Finder brought him in because of injuries that needed medical attention. Behavior during Intake. Rex was alert and responsive. He meowed when picked up and allowed all handling.
08/29/2017 WEB MEMO
08/31/2017 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
ACTIVITY LEVEL: Laid back VOCAL: Somewhat chatty CHARACTER TYPE: Sweet, Affectionate KNOWN HISTORY: Rex was brought in as a stray, so we don’t have any behavioral history or tendencies in a home environment. MEDICAL BEHAVIOR: 8/28/17- Subjective: Walks right out of carrier, allows handling ENRICHMENT NOTES: 8/29/17- Resting in litter box, soft posture, but dilated eyes, due to medication? Sat up and looked around when door opened, then head butted and leaned into pets, purred. EVALUATION: Cage Condition: Cage is neat Reaction to assessor: Rex immediately comes soliciting at the front of the cage. Reaction to door opening: Rex remains standing at the front of the cage, relaxed body posture, soliciting attention. Reaction to touch: Rex head-butts the assessor’s hand and appreciates petting on the head and body. Reaction to Being Picked up: Allows the pickup and remains calm. BEHAVIOR SUMMARY: Beginner Rex interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
08/28/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: Estimated 3-5 years based on dentition and secondary sex characteristics Microchip noted on Intake? Scanned neg on intake History : No health hx available Subjective: Walks right out of carrier, allows handling. Yowls a bit on rectal temp. Evidence of Trauma seen – Large avulsion on right side of face Objective BAR, estimated 5-8% dehydrated, BCS 5/9, MMs pale pink. Rectal temp 103 deg. EENT: Large avulsion on right side of face! Full-thickness avulsion, flap is 5×8 cm, attached cranioventrally. There is a good bed of granulation tissue underneath, with moderate purulent discharge and only mild crusting. Eyes clear, ears clean, no nasal discharge noted Oral Exam: Clean adult teeth. PLN: No enlargements noted – did not palpate mandibular LNs H/L: NSR, NMA, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male intact, testicles S/S MSI: Dirty fur coat. Ambulatory x 4. No other wounds noted. CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: Normal externally Assessment: LARGE skin wound on face, mild fever Prognosis: Good Plan: 1. Clavamox 1 ml PO BID x10 days 2. Flush out wound daily, evaluate for feasibility of delayed primary closure 3. Simbadol 0.6 ml SQ SID x10 days 4. Onsior 9 mg PO SID x5 days SURGERY: Okay for in-house surgery after ID hold is up 1088
08/31/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 C – SEVERE CONDITIONS ,
Hx: Large necrotic wound on R side of face. On Simbadol, Onsior, Clavamox – sedated yesterday for debridement. CBC/chemistry showed moderate to severe non-regenerative anemia, severe neutrophilia, mild monocytosis, elevated globulins (6.7). S/O good appetite BAR, regresses when approached but allows gentle handling mm pk, moist no nasal discharge OU-moderate to severe blepharospasm, increased epiphora large ulcerated wound on R side of face, good granulation bed present, crusting along edges; no significant discharge, mild swelling; appears comfortable A large facial wound-healing well conjunctivitis OU P add erythromycin CWCT prognosis: good
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