RINA – 18466
Safe - 1-24-2018 Brooklyn
*** SAFE 01/24/18 *** Friendly, outgoing RINA has lived as a solo cat. She has had gastrointestinal issues and appears to have kidney issues as well. RINA needs competent vet evaluation which she appears not to have had in the past. RINA has a lot to live for, please give her the chance!!
Brooklyn Center
Hello, my name is Rina. My animal id is #18466. I am a desexed female tortoiseshell cat at the Brooklyn Animal Care Center. The shelter thinks I am about 7 years old. – P
I came into the shelter as a owner surrender on 16-Jan-2018, with the surrender reason stated as animal health – other.
Rina was placed at risk due to her medical condition; she was diagnosed with renal disease/anemia and would benefit from placement as soon as possible. she can go home with a new or experienced cat owner.
My medical notes are…
Weight: 6.78 lbs
17/01/2018
[LVT Intake Exam] Microchip Scan: negative Evidence of Cruelty: none Observed Behavior:QAR, does not like belly touched Sex:Femal Estimated Age:7 years Subjective: seems nervous, allows some handling but only for a short time Eyes:clean and clear Ears: Oral Exam: Heart: rate 228 Lungs: RR 24 Abdomen:tense, resents palpation did combo test – negative checked BG – 100 did CHEM – BUN 56 – alerted DVM on call. advised to give 100ml LRS sub-q. Musculoskeletal: Mentation:appropriate Preliminary Assessment: Plan: p
17/01/2018
DVM Intake Exam Estimated age: 7 years Microchip noted on Intake? negative History : o/s-reported to be having inappropriate urination and defecation outside of the litter box for the past year. Reported to have taken to rDVM twice and has been on abx. Took an xray at rDVM and o reported she had a lot of feces in abdomen. 1/16: Chem: azotemia BUN 53 (16 – 36 mg/dL), creatinine 2.1 (0.8 – 2.4 mg/dL), hypoalbuminemia 2.1 (2.2 – 4.0 g/dL) BG: 100 Subjective: BARH Observed Behavior – very sweet but resents abdominal palpation and will start growling. Easily handleable. Did well for all medical handling and procedures Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective P = wnl R = eupneic BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: adult dentition with moderate to severe dental disease, oligodontia, and prognathism, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Distended, tense, and painful. Resents abdominal palpation. Bladder palpates very large U/G: F-unknown if spayed, no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Dental disease Azotemia r/o pre-renal, renal, post renal History of inappropriate elimination x1 year Thickened GI on AXR r/o GI lymphoma vs IBD vs other Diarrhea Anemia Severe panleukocytosis Plan: Continue to monitor while at BACC Sedated with telazol 0.07ml IM AXR-severely thickened GI walls throughout the abdomen with stacked GI loops, lumen does not appear dilated, normal appearing feces in colon, unable to appreciate bladder or retroperitoneal space because of GI, liver appears wnl, stomach empty, cranially able to visualize caudal lungs which appear to have aging changes UA -2+ bilirubinuria, pH 5, USG 1.005 CBC-anemia 23.2 (30.3 – 52.3 %), leukocytosis 34.45 (2.87 – 17.02 K/µL), neutrophilia 20.32 (1.48 – 10.29 K/µL), monocytosis 1.37 (0.05 – 0.67 K/µL), basophilia 1.98 (0.01 – 0.26 K/µL), eosinophilia * 4.9 (0.17 – 1.57 K/µL) B12 injection 0.1ml SQ-repeat in 1 week Rec AUS with placement Start metronidazole 15mg/kg PO BID x5d until 1/22 Start doxycycline 10mg/kg PO SID x10d until 1/28 for possible infectious component Prognosis: Good to fair SURGERY: spayed
18/01/2018
Progress exam History : o/s 1/17-reported to be having inappropriate urination and defecation outside of the litter box for the past year. Reported to have taken to rDVM twice and has been on abx. Took an xray at rDVM and o reported she had a lot of feces in abdomen. 1/16: Chem: azotemia BUN 53 (16 – 36 mg/dL), creatinine 2.1 (0.8 – 2.4 mg/dL), hypoalbuminemia 2.1 (2.2 – 4.0 g/dL) BG: 100 1/17: gave B12 injection and started on doxycycline and metronidazole AXR-severely thickened GI walls throughout the abdomen with stacked GI loops, lumen does not appear dilated, normal appearing feces in colon, unable to appreciate bladder or retroperitoneal space because of GI, liver appears wnl, stomach empty, cranially able to visualize caudal lungs which appear to have aging changes UA -2+ bilirubinuria, pH 5, USG 1.005 CBC-anemia 23.2 (30.3 – 52.3 %), leukocytosis 34.45 (2.87 – 17.02 K/µL), neutrophilia 20.32 (1.48 – 10.29 K/µL), monocytosis 1.37 (0.05 – 0.67 K/µL), basophilia 1.98 (0.01 – 0.26 K/µL), eosinophilia * 4.9 (0.17 – 1.57 K/µL) Subjective: BARH. No csvd. Normal appetite. Normal bm and u in litter box. Objective P = wnl R = eupneic BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: adult dentition with moderate to severe dental disease, oligodontia, and prognathism, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Distended, tense, and painful. Resents abdominal palpation U/G: F-unknown if spayed, no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Dental disease Azotemia r/o pre-renal, renal, post renal History of inappropriate elimination x1 year Thickened GI on AXR r/o GI lymphoma vs IBD vs other Diarrhea-improved Anemia Severe panleukocytosis Plan: Continue to monitor while at BACC B12 1/24 Rec AUS with placement Continue metronidazole 15mg/kg PO BID until 1/22 Continue doxycycline 10mg/kg PO SID until 1/28 Prognosis: Good to fair
19/01/2018
Monitor condition – suspect GI lymphoma vs IBD S/O: BAR. ~5% dehydration. Allows all handling. Appetite OK, vomiting vs regurgitated two small piles of liquid food, large amount of formed and soft stool in litter. EENT: Nuclear sclerosis and iris atrophy OU, no ocular or nasal discharge, pink mm, missing several teeth, moderate staining and tartar, mild gingival recession HL: Grade 2/6 heart murmur sternally, lungs clear ABD: Soft, non tender, distended bowel loops, no masses palpated INTEG: Full coat MS: Ambulatory x 4 UG: Spayed A: Geriatric cat — appears older than 7yrs, est 12+ years. Hx of GI signs and inappropriate elimination. R/O GI lymphoma vs IBD vs other P: Adding LRS 100ml SQ q24 x 3 days. Continue to monitor while at BACC. Rec abdominal ultrasound and biopsy for definitive diagnosis. Poor prognosis
20/01/2018
Monitor condition – suspect GI lymphoma S/O: QARH. Ate well overnight. Small amount of soft stool and large amount of urine in litterbox EENT: Nuclear sclerosis, iris atrophy, no ocular or nasal discharge, dental disease HL: Grade 2/6 heart murmur, lungs clear ABD: Tense, somewhat firm, distended bowel lopps INTEG: Full coat MS: Ambulatory x 4 UG: Spayed A: Geriatric, suspect GI lymphoma P: Continue with current treatment and monitoring plan. Poor prognosis
21/01/2018
Progress exam History : o/s 1/17-reported to be having inappropriate urination and defecation outside of the litter box for the past year. Reported to have taken to rDVM twice and has been on abx. Took an xray at rDVM and o reported she had a lot of feces in abdomen. 1/16: Chem: azotemia BUN 53 (16 – 36 mg/dL), creatinine 2.1 (0.8 – 2.4 mg/dL), hypoalbuminemia 2.1 (2.2 – 4.0 g/dL) BG: 100 1/17: gave B12 injection and started on doxycycline and metronidazole AXR-severely thickened GI walls throughout the abdomen with stacked GI loops, lumen does not appear dilated, normal appearing feces in colon, unable to appreciate bladder or retroperitoneal space because of GI, liver appears wnl, stomach empty, cranially able to visualize caudal lungs which appear to have aging changes UA -2+ bilirubinuria, pH 5, USG 1.005 CBC-anemia 23.2 (30.3 – 52.3 %), leukocytosis 34.45 (2.87 – 17.02 K/µL), neutrophilia 20.32 (1.48 – 10.29 K/µL), monocytosis 1.37 (0.05 – 0.67 K/µL), basophilia 1.98 (0.01 – 0.26 K/µL), eosinophilia * 4.9 (0.17 – 1.57 K/µL) 1/19-added in SQ LRS Subjective: BARH. No csvd. Eating well. D+ in litter box with normal u. Objective P = wnl R = eupneic BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: adult dentition with moderate to severe dental disease, oligodontia, and prognathism, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Distended, tense, and painful. Distended and thick bowel loops U/G: F, unknown if spayed, no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Dental disease Azotemia r/o pre-renal, renal, post renal History of inappropriate elimination x1 year Thickened GI on AXR r/o GI lymphoma vs IBD vs other Diarrhea Anemia Severe panleukocytosis Plan: Continue to monitor while at BACC Last day of SQ LRS B12 1/24 Rec AUS with placement Continue metronidazole 15mg/kg PO BID until 1/22 Continue doxycycline 10mg/kg PO SID until 1/28 Prognosis: Fair to poor
Details on my behavior are…
Behavior Condition: 2. Blue
During intake Rina allowed the counselor to collar her. When the counselor tried to take her out of the carrier to take her picture she was low growling.
Spay/Neuter status: Yes
Is this cat having litter box issues?: Yes
Basic Information:: Rina is a 7 year old tortie spayed female cat who was surrendered by her owner due to the cat having medical issues and no time to care for her.
If yes, Please elaborate:: Cat has a history of constipation over the past year. She is also defecating and urinating outside of the litter box daily for almost a year. The owner has taken her to the vet several times but has never gotten a diagnosis. they took X-rays in October and told her that he cat had fecal matter backed up in her intestines The have given her a 10 day antibiotic 2x but she has not improved. she stated that the cat has lost weight and is not eating a lot and constantly drinking water.
Previously lived with:: Owner
How is this cat around strangers?: Owner stated that when meeting strangers Rina is friendly and outgoing. when playing with adults she is gentle.
How is this cat around children?: Rina has not spent time in the home with children so it is unknown how she will react.
How is this cat around other cats?: Rina has not spent time in the home with other cats so it is unknown how she will react.
How is this cat around dogs?: Rina has not spent time in the home with dogs so it is unknown how she will react.
Behavior Notes: Owner stated that she has never bathed nor trimmed Rina’s nails so it is unknown how she will react. She isn’t bothered if she is held put in a carrier or disturbed while she sleeps.
Bite history:: Rina has no bit history.
Energy level/descriptors:: Medium
Has this cat ever had any medical issues?: Yes
Medical Notes: Rina has a history of constipation.
For a New Family to Know: Owner described Rina as friendly affectionate. When at home she will follow her owner around. She has been kept indoors only and eats both wet and dry food. She is used to a hooded litter box with clumping litter. Rina scratches on a post made out of carpet and rough rope.
KNOWN HISTORY:: KNOWN HISTORY: Lived Indoors Previously lived with: Adults Behavior toward strangers: Friendly and outgoing Behavior toward children: Unknown Behavior toward cats: Unknown Behavior toward dogs: Unknown Bite or Scratch history: None Litter box training: She has a history of constipation and has been urinating and defecating outside the litter box for almost a year Energy level/descriptors: Friendly and affectionate with a medium activity level Other notes: She doesn’t mind being picked up/held or placed in a carrier.
MEDICAL BEHAVIOR:: 01/19/18 Very sweet but resents abdominal palpation and will start growling. Easily handle able. Did well for all medical handling and procedures
ENRICHMENT NOTES:: 01/17/18 Vocalizing in front of kennel as I approach. Allows petting along head and body while leaning in and raising her tail. Doing well after first day!
Cage Condition:: Cage is recently cleaned
Reaction to assessor:: Rina meows softly and comes forward with a relaxed body.
Reaction when softly spoken to:: Rina sniffs through then cage door, then walks away and starts eating her food.
Reaction to cage door opening:: Rina remains calm and relaxed.
Reaction to touch:: Rina vocalizes, then leans gently against the assessor’s hand and accepts petting. She arches her back, gives head butts and appreciates attention.
Reaction to being picked up:: Rina was a bit tense when picked up, but she remains calm and allows all handling.
ACTIVITY LEVEL:: Moderate
VOCAL:: Quiet
POTENTIAL CHALLENGES:: Inappropriate elimination
Potential challenges comments:: Rina’s previous owner reports that she was eliminating (urinating and defecating) outside the litter box for about a year, but we are unaware of what, if any, modification steps were taken to try and address this behavior. Please note as well that Rina has been diagnosed with and is being treated for Chronic Kidney Disease in the care center, which may be influencing the urination behavior. We cannot be sure whether this behavior will continue in a home environment after treatment for the medical condition has been completed, but we recommend that potential adopters be comfortable with management and modification techniques for elimination outside the litter box should this behavior continue in a home environment.
BEHAVIOR DETERMINATION: : Average
Behavior Asilomar: H – Healthy
RECOMMENDATIONS:: None
BEHAVIOR SUMMARY:: Rina interacts with the observer, appreciates attention, is easy to handle and tolerates all petting. This cat is showing behavior appropriate for new or experienced cat parents.
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View all entries in: Safe Cats 2018-01