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You are here: Home / Gone By Month / Gone Cats 2017-09 / RINO – A1125136

RINO – A1125136

Gone - 9-13-2017 Manhattan

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DIED 9/13/17— 10 year old Rino was surrendered for “cost”. Owner is unable to afford vet care. Rino seems to have pyometra and needs medical. Please help this older kitty get the care she needs!

MANHATTAN CENTER

RINO – A1125136

SPAYED FEMALE, GRAY, AMER SH MIX,10 yrs
OWNER SUR – STRAY WAIT, NO HOLD Reason COST
Intake condition ILLNESS Intake Date 09/11/2017, From NY 10002, DueOut Date 09/11/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: reported to be 10 years, age consistent with exam Microchip noted on Intake? History : owner surrender because owner is unable to afford care for suspected pyometra Subjective: QAR Observed Behavior – slightly lethargic, docile, allows handling Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective BCS 4.5/9 EENT: OS-mildly increased epiphora; AU-clean, no nasal discharge Oral Exam: mm pale pk, tacky; moderate tartar/staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: soft, nonpainful; thickened tissue palpable, suspected uterus U/G: female intact; severe, bloody mucoid vulvular discharge MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: grossly normal Lateral abd rad: large fluid filled intra-abdominal soft tissue structure, suspected to be uterus Assessment Pyometra Plan CBC (not enough blood pre-op for chem) Place IVC, 50 ml bolus LRS then continued at 10 ml/hr Baytril 100 mg/ml: 0.3 ml IV SID Ampicillin 250 mg/ml: 0.3 ml IV TID, dose given pre-op Spay today Prognosis: fair to good SURGERY: Okay for surgery
Weight 6.9

Medical:

Blood work:

RBC        3.02        M/ul      5.0-10

HCT        13.8        %            30-45

HGB       4.2          g/dl        9.0-15.1

MCV      45.7        fL            41-58

MCH      13.9        pg           12-20

MCHC   30.4        g/dl        29.0-37.5

RDW      22.7        %            17.3-22

%RETIC 0.9          %

RETIC     26           K/uL       3.0-50.0

WBC      27.93     K/uL       5.5-19.5

%NEUT 1.4          %

%LYM    85.6        %

%MONO              12.6        %

%EOS    0.3          %

%BASO 0.1          %

NEUT     0.4          K/uL       2.5-12.5

LYM       23.9        K/uL       0.4-6.8

MONO  3.51        K/uL       0.15-1.7

EOS        0.08        K/uL       0.1-0.79

BASO     0.04        K/uL       0.00-0.10

PLT         3              K/uL       175-600

MPV      10.3        fl

PDW                      %

PCT        0              %

Parameters        Results                 Reference Ranges

GLU       145         mg/dl    71-59

BUN       20           mg/dl    16-36

CREAT   0.5          mg/dl    0.8-2.4

BUN/Creat          40

PHOS     4.2          mg/dl    3.1-7.5

CA          7.2          mg/dl    7.8-11.3

TP           7.5          g/dl        5.7-8.9

ALB        2.1          g/dl        2.3-3.9

GLOB     5.4          g/dl        2.8-5.1

ALB/Glob             0.4

ALT         48           U/L         12-130

ALKP      10           U/L         14-111

GGT                       U/L         0-1

TBILI      1.6          mg/dl    0.0-0.9

CHOL     77           mg/dl    65-225

Na          149         mmol/L                150-165

K             4.7          mmol/L                3.5-5.8

Na/K      32

Cl            110         mmol/L                112-129

Osm calc              301         mmol/kg

Re-exam 9/12/17:

Hx: Pyometra – reported vulvar discharge for past 2-3 days. Spayed yesterday; uterus was engorged and lymphatics were very large. Pt very dehydrated, anemic (Hct 13%), elevated globulins and t. bili. IVF run at 10 ml/hr overnight. Baytril and ampicillin (TID) started yesterday pre-op. One dose Cerenia given yesterday. Pt did not eat overnight.

S: Alert, sitting in kennel, IVF connected but pump turned off. Allows all handling.

O: BAR, better hydration today, estimated 5% dehydrated based on tacky MMs. BCs 4.5/9, MMs pale pink and tacky

EENT: No discharge OU, nose.

H/L: NSR, NMA. Eupnic, quiet lung sounds.

Abd: Soft, no pain on palpation, no masses palpated

M/S/I: Amb x4. No skin lesions noted. Ventral abd incision from spay – no swelling, discharge, erythema.

UG: Female, spayed yesterday

Neuro: Alert and appropriate, no sign neurological deficiencies

A:

1. Pyometra – removed yesterday

2. Anemia – R/O anemia of chronic disease

3. Dehydration

4. Poor appetite

Short-term prognosis: Good

P:

1. Maintain IVF today – consider d/c-ing tomorrow

2. Continue Baytril and IV ampicillin today – switch to BID IM ampicillin tomorrow

3. Continue Cerenia, monitor appetite

DVM Exam 9/11/17:

Estimated age: reported to be 10 years, age consistent with exam

Microchip noted on Intake?

History : owner surrender because owner is unable to afford care for suspected pyometra

Subjective: QAR

Observed Behavior – slightly lethargic, docile, allows handling

Evidence of Cruelty seen – none

Evidence of Trauma seen – none

Objective

BCS 4.5/9

EENT:  OS-mildly increased epiphora; AU-clean, no nasal discharge

Oral Exam:  mm pale pk, tacky; moderate tartar/staining

PLN:  No enlargements noted

H/L:  NSR, NMA, CRT < 2,    Lungs clear, eupnic

ABD:  soft, nonpainful; thickened tissue palpable, suspected uterus

U/G: female intact; severe, bloody mucoid vulvular discharge

MSI:  Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat

CNS:  mentation appropriate – no signs of neurologic abnormalities

Rectal: grossly normal

Lateral abd rad: large fluid filled intra-abdominal soft tissue structure, suspected to be uterus

Assessment

Pyometra

Plan

CBC (not enough blood pre-op for chem)

Place IVC, 50 ml bolus LRS then continued at 10 ml/hr

Baytril 100 mg/ml: 0.3 ml IV SID

Ampicillin 250 mg/ml: 0.3 ml IV TID, dose given pre-op

Spay today

Prognosis: fair to good

SURGERY: Okay for surgery

LVT Exam 9/11/17:

BAR

scan negative

mild dehydration

allows handling

female intact

10 yrs old reported

mod tartar

clean EEN

bloody purulent vaginal d/c

poss pyometra

will place NPO sign if need sx

BCS 5/9

NOSF

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