ROBIN HOOD – A1094786
Safe - 10-29-2016 Brooklyn
SAFE 10/29/16
Brooklyn Center
My name is ROBIN HOOD. My Animal ID # is A1094786. – P
I am a spayed female black domestic sh mix. The shelter thinks I am about 17 YEARS old.
I came in the shelter as a STRAY on 10/26/2016 from NY 11208, owner surrender reason stated was STRAY.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
10/27/2016 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 6.8 LBS.
10/27/16 Monitor appetite, overall condition. O: BARH. Urinated overnight, eating small amounts of canned food. Social and enjoys petting. ABD: Soft, non-painful. Urinary bladder small. MS/NEURO: Full exam not performed as it was done yesterday. Amb x 2, will reposition herself by using front limbs. A: Stable hind limb paralysis. No evidence of urine retention. P: Poor prognosis. Rec. placement. Will need additional workup and good nursing care to manage condition. 10/26/16 Check hind limbs – appears paralyzed. O: BARH. mm=lt pink, moist. CRT<2 s. Calm and social cat, easy to examine. ORAL: Mod. calculus, gingivitis. EENT: Iris atrophy OU. No oculonasal discharge. H/L: Lungs clear, no murmurs. ABD/UG: Soft, non-painful. No palpable masses/organomegaly. Diarrhea on tail. Urinary bladder small, soft. MS/NEURO: Able to hold herself in sternal position and sit upright. Ambulates by using forelimbs to pull herself forward. Unable to bear weight on hind limbs, both are limp with mod. symmetrical muscle wasting. No palpable fractures, not painful on spinal, pelvic, or limb palpation. Neg. withdrawal and nociception hind limbs. Toes are warm, nail beds pink both hind limbs. INTEG: Flea dirt, small scabs over mid to caudal dorsum. A: Bilateral hind limb paralysis, with symmetrical muscle wasting. Likely T3-L3 spinal lesion DDX: IVDD, spinal trauma, neoplasia, infectious/inflammatory spinal disease. P: Provide extra bedding. Monitor appetite, mobility, ability to urinate/defecate on her own. No specific treatment indicated at this time. Poor prognosis. Rec. EHR if condition deteriorates.
PET PROFILE MEMO
No Pet Profile Memo
WEB MEMO
No Web Memo
10/27/2016 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
Robin Hood came into the care center as a stray, so we cannot speak to her behavior in her previous home. She is experiencing a severe medical condition, but has been social and easy to handle since intake. When an enrichment facilitator interacted with her, Robin Hood was attention-seeking and allowed touch and petting, though the interaction was limited due to her condition. Due to her high tolerance of handling and social behavior thus far in the care center, we feel her behavior is suitable for an adopter with an average amount of cat experience.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
10/26/2016 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
Scanned positive with Chip #IDI 4251622745 S~ 17 years Ears waxy Eyes cloudy Nose, throat clear Teeth deeply stained, grooved, mild tarter Coat dirty. Urine and feces/diarrhea clinging to hindquarters and ano-genital region. No visible parasites. **Hind legs appear paralyzed. No response to toe pinch on either hind leg. Attempts to balance on hind legs but slips down and splays. Does not appear to be in pain. Given to vet 1276 in medical. Nails long – untrimmed NOSF
10/27/2016 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
10/27/16 Monitor appetite, overall condition. O: BARH. Urinated overnight, eating small amounts of canned food. Social and enjoys petting. ABD: Soft, non-painful. Urinary bladder small. MS/NEURO: Full exam not performed as it was done yesterday. Amb x 2, will reposition herself by using front limbs. A: Stable hind limb paralysis. No evidence of urine retention. P: Poor prognosis. Rec. placement. Will need additional workup and good nursing care to manage condition. 10/26/16 Check hind limbs – appears paralyzed. O: BARH. mm=lt pink, moist. CRT<2 s. Calm and social cat, easy to examine. ORAL: Mod. calculus, gingivitis. EENT: Iris atrophy OU. No oculonasal discharge. H/L: Lungs clear, no murmurs. ABD/UG: Soft, non-painful. No palpable masses/organomegaly. Diarrhea on tail. Urinary bladder small, soft. MS/NEURO: Able to hold herself in sternal position and sit upright. Ambulates by using forelimbs to pull herself forward. Unable to bear weight on hind limbs, both are limp with mod. symmetrical muscle wasting. No palpable fractures, not painful on spinal, pelvic, or limb palpation. Neg. withdrawal and nociception hind limbs. Toes are warm, nail beds pink both hind limbs. INTEG: Flea dirt, small scabs over mid to caudal dorsum. A: Bilateral hind limb paralysis, with symmetrical muscle wasting. Likely T3-L3 spinal lesion DDX: IVDD, spinal trauma, neoplasia, infectious/inflammatory spinal disease. P: Provide extra bedding. Monitor appetite, mobility, ability to urinate/defecate on her own. No specific treatment indicated at this time. Poor prognosis. Rec. EHR if condition deteriorates.
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