SERENADE – 20751
Gone - 2-21-2018 Manhattan
GONE 2/21/18 Adorable AVERAGE Behavior Kitty – Post-Op Pyometra/URI – SERENADE Is Quite The Romantic!Serenade was found abandoned in an apartment and the finder noticed something was not right. She was brought to MACC where medical discovered she had a pyometra and spayed. She is currently on supportive care and would do best resting in a foster home rather than the shelter environment.
Intake Date: 2/15/18
Intake Type: Stray
Medical Behavior: Orange
Sex: Spayed Female
Age: 5 years
Original Location: 10456
L V T Notes: 10:37 AM
Simbadol bottle 64 0.5ml SQ at 10:05am
Onsior 0.35ml SQ
Vet Notes: 8:41 AM
s/o. BAR, standing in kennel. Reported that she ate and drank the night before. Looks slightly lethargic.
HR- 228 T – 103. 7 R – 30, MM pink and wet
Incision site looks healthy with no signs of dis-c or infection.
Skin tent – normal
A: Hyperthermia – suspect possible bacterial infection related to the pyometra
Reduce fluids to 15ml/hr
1) Continue on fluids but on 2 x maintenance rate
2) Clavamox susp 13.75mg/kg BID – 0.8cc for 14 days
Blood Work Interpretation
Vet Notes: 4:38 PM
Post-op bloodwork performed
Severe anemia – 12.5%
WBC 25.8, neutrophils 16.96, bands suspected, lymphs 7.33, monos 0.92
ASSESSMENT: Severe anemia, inflammatory leukogram, thyrombocytopenia, hypoalbuminemia.
Pt is alert in kennel, ataxic, walking around, shivering, tachycardic.
Continue IVF at 25 ml/hr overnight. No antibiotics indicated.
Recheck PCV/TS tomorrow and full blood panel in 2 days.
Vet Notes: 4:40 PM
[Surgery Template – Cat Spay]
Was this cat in heat, pregnant or have a pyometra? Open Pyometra
Ventral Midline Incision was made half way between the pubic ridge and umbilicus 4 cm
Ovaries Ligated with the auto-ligation technique
Uterine Body Ligated with: a millers knot and a transfixation/circumfrential knot using 3-0 PDS
Abdominal Closure in a simple cont pattern using 3-0 PDS
Skin Sub Q closed continuously in a simple cont pattern for the sub-q layer and intradermal pattern for the skin with 3-0 PDS
Green Linear Tattoo Placed on Midline
Additional Comments: An addition hemostat clamp was placed at the uterine body prior to excision to ensure no leakage of the purulent material. The pyometra was confirmed by dissection.
Medical Assistant: 4:03 PM
Anesthesia Summary: Feline OHE
Ketamine 100mg/mL injectable, 0.3 mL IM
Dexdomitor 0.5mg/mL injectable, 0.11 mL IM
Butorphanol 10mg/mL injectable, 0.04 mL IM
Size 4 fr. ET tube placed, maintained general anesthesia throughout procedure on isoflurane and O2. Used (non-rebreathing system with 0.5 L bag.
22 g IVC placed in RF cephalic vessel.
Intraoperative IV LRS at 5-10mL/kg/hr: 40 mL/hr
Robenacoxib (Onsior) 20mg/mL injectable, 0.35 mL, SQ, once, for post-operative pain relief. Given pre/post operatively.
Simbadol 1.8mg/mL injectable, 0.5 mL SQ, once, for pain relief, given post-operatively.
Given Antisedan 5mg/ml â€“0.1 ml IM, once. at 4 PM.
Anesthetist/Surgical Monitor (P#â€™s):
Start 0.5 cc simbadol 1.8 mg/ml sid x 4 days and 0.35 cc Robenacoxib 20 mg/ml sid x 2 days as pain management.
L V T Notes: 1:39 PM
Gave 0.11 mls SQ of Dexdomitor .5 mg/kg at 1:00pm for sedated rads of Abdomen = right lateral and VD. As per Dr. Anderson.
Vet Notes: 1:32 PM
Possible pyometra- sedation for rads and exam
O: Sedated w/ 15mcg/kg dexdomitor. No HM ausuclted. Bradycardic d/t dexdomitor.
2-view AXR: uterus diffusely distended, rest of abdomen no abnormalities noted
A: Open pyometra
P: Surgery to spay this afternoon.
Vet Notes: 11:13 AM
DVM Intake Exam
Estimated age: approx. 5yo
Microchip noted on Intake? neg
Microchip Number (If Applicable):
History : stray, found to have discharge coming from rear end. Eating and drinking while here, normal temp.
Subjective: BAR. Growling, hissing. Pet was netted during LVT intake, and during DVM intake. Limited PE due to behavior. Moderate amount of purulent discharge noted on cage paper.
Observed Behavior –
Evidence of Cruelty seen – n
Evidence of Trauma seen – n
P = wnl
R = wnl
EENT: Eyes clear, no nasal or ocular discharge noted
Oral Exam: did not assess
PLN: not assessed
H/L: NSR, NMA, Lungs clear, eupnic. Difficult to auscult due to growling, hissing, and being in net.
ABD: not assessed due to behavior and being in net.
U/G: Intact female. No vulvar discharge noted, but purulent discharge on cage paper.
MSI: Ambulatory x 4. Small amount of dried discharge around anal/vulvar area.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally
possible pyometra (open?)
dexdomitor 15mcg/kg IM then take 2 view AXR to assess for possible pyometra.
Okay for surgery
L V T Notes: 3:07 AM
[LVT Intake Exam]
Microchip Scan: negative, did not place
Evidence of Cruelty: no
Observed Behavior: hissing and growling, allowed handling via net, placed in feral den for comfort
Sex: intact female
Estimated Age: appx 5y+
Subjective: finder reported that animal had “leaking” from anus and inappetance, perianal area is wet but does not appear to be diarrhea, clear d/c from vagina, temp 100.5F
Oral Exam: moderate staining, cat did not tolerate handling of head
Abdomen: distended and fluid, non painful
Musculoskeletal: WNL BCS 5/9
Preliminary Assessment: possible pyometra or other infection
Plan: DVM intake, in medical for observation
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View all entries in: Gone Cats 2018-02