SIR ESSEX – 31467

Behavior:

This information is supplied as a guide only based on the history supplied to us and on our observations of the animal in the shelter. Animal Care Centers of NYC, its employees and agents accept no responsibility in the event that the animal behaved differently from its description above nor are any guarantees made in respect of its future behavior.

Animal Behavior Saved At: 19-Jun-2018 11:28:45.000

Animal ID:
31467

Animal Name: Sir Essex
Age: 12 Years (approx)

Tag Number:
Breed: Domestic Short Hair

Gender: Male
Spayed / Neutered: Yes

Handler: 991057
Observer:

Behavior Assessment Date:
6/19/2018

Retest Date:

Retest Reason:

Next Test Date:

KNOWN HISTORY:
Sir Essex was brought in as a stray, so we cannot speak to his/her behavior in his/her previous home.

MEDICAL BEHAVIOR:
06/17/18
Very sweet. Easily handle able. Did well for all medical handling and procedures

ENRICHMENT NOTES:
06/17/18
Approaches and rubs on cage door. Meows and lifts rear when coaxed, then solicits attention again. Accepts petting and leans in, allowing petting all over. Very social kitty.Â

Cage Condition:
Cage is slightly re-arranged

Reaction to assessor:
Sir Essex was relaxed and lying down at the front of the kennel.

Reaction when softly spoken to:
Sir Essex perks up when spoken to softly, then leans in and rubs his cheeks against the cage door.

Reaction to cage door opening:
Sir Essex remains calm and relaxed.

Reaction to touch:
Sir Essex sniffs the assessor’s hand, leans in when rubbed on his cheeks and arches his body when pet along his back. He appreciates attention and steps out the kennel to explore.

Reaction to being picked up:
Sir Essex was calm, relaxed and allowed all handling.

ACTIVITY LEVEL:
Mellow

VOCAL:
Quiet

CHARACTER TYPE:
Calm

Sweet

Affectionate

Easy going

POTENTIAL CHALLENGES:
None

BEHAVIOR DETERMINATION:
Beginner

Behavior Asilomar
H – Healthy

RECOMMENDATIONS:
None

BEHAVIOR SUMMARY:
Sir Essex interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.

Medical:

Medical History Report
2336 Linden Boulevard
Brooklyn NY 11208
212-788-4000

Animal ID
Name
Type
Mixed
Color(1)
Color(2)
Gender

31467
Sir Essex
Cat
Yes
Gray
White
Male

Spayed / Neutered
Age
Primary Microchip #
Rabies Tag
Weight
Spay / Neuter Due Date
Temperature

Yes
12 Years (approx)
985113001883639

6 lbs 8 oz

Veterinary Clinic Software Record #:
Weight:   6 lbs 8 oz

Incoming Agency: Animal Care Centers of NYC
Date of Weighing:   6/17/2018

Date Spayed / Neutered:
Schedule Surgery Date:

Stitches Removal Date:

Clinic Name:

Previously Spayed / Neutered:    Yes

General Vet Notes:

Previous Medical Details:

Known Allergies or Medical Conditions:

Feeding Requirements:

Indemnities/Waivers:

Medical Notes
Notes
Date
No Medical Notes Stored
Vet Treatments
Date Administered
Vet Treatment Type
Treatment Result
Administered by External Vet
6/17/2018
Re-weigh

6/17/2018
Gabapenth (50 Mg/Ml)

6/17/2018
Microchip Implantation

6/17/2018
Rabies

6/17/2018
Internal Parasite Treatment – Pyrantel

6/17/2018
Fvr-Cp 1 Of 2

6/17/2018
Flea/Tick Treatment – Paradefense

6/17/2018
FeLV/FIV Snap
Negative

Vet Treatments Due
Date Due
Vet Treatment Type
7/1/2018
Fvr-Cp 1 Of 2
7/1/2018
Internal Parasite Treatment – Pyrantel
7/1/2018
Re-weigh
7/17/2018
Flea/Tick Treatment – Paradefense
6/17/2019
Rabies
Medications
Medication
Amount Dispensed
Frequency
Date From
Date To
Doses Administered
Vet Name
Reason
Notes
Metronidazole 100 mg/ML
0 ml
0.5, 2 times every 1 day(s)
17-Jun-2018
22-Jun-2018
0
VET 991416

Give 0.5ml PO BID
Panacur Suspension 100 mg/ML
0 ml
1.6 every 1 day(s)
17-Jun-2018
20-Jun-2018
0
VET 991416

Give 1.6ml PO SID
Drug Usage
No drugs administered to this animal.
 

Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
19-Jun-2018

19-Jun-2018
Progress Exam
Vet Notes: 2:17 PM

H: Intake on 6/17. Noted to have diarrhea, thin/emaciated and severely azotemic. Given SQ fluids, started on IV fluids (though not running this morning), panacur and metronidazole

CBC-non-regenerative anemia 14.2 (30.3-52.3), leukocytosis 26.36 (2.87-17.02), neutrophilia 24.23 (1.48-10.29), monocytosis 0.82 (0.05-0.67), eosinopenia 0.03 (0.17-1.57)
Chem-severely azotemic creatinine 4.7 (0.8-2.4), BUN >130 (16-36), severe hyperphosphatemia >16.1 (3.1-7.5), mild hyperglobulinemia 5.9 (2.8-5.1)
T4-wnl

6/18
CBC: Severe, non-regenerative anemia (Hct 10.3, Retic 7.9- decreased from yesterday, though likely due to rehydration); mild neutrophilia (14.12), monocytosis (0.76),
Chem: BUN 114, Creat 4.6, Phos 7.4 (high end of normal)

S: BAR. <5% dehydrated. Moderate amount of urine in cage. Soft, brown stool in cage. Eating well. Very friendly and affectionate.

HR 180
RR eupneic

CRT: <2s. Gums: pale pink, moist
Eyes: Grossly appropriate OU.
Ears: Mild to moderate ceruminous debris
Nasal Cavity: No nasal discharge.
Oral Cavity: moderate dental tartar/periodontal disease
PLN: WNL
Heart: Gallop rhythm auscultated. Pulses adequate and synchronous.
Lungs: Eupneic, lungs clear. No crackles or wheezes bilaterally.
Abd: Soft, non-painful. No palpable masses. No organomegaly appreciated.
U/G: Neutered male. No discharge.
Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Moderate to severe diffuse muscle wasting/cachexia
BCS = 3/9
Integument: Otherwise unremarkable haircoat.
Neuro: Appropriate mentation. Full neurologic exam not performed.
Rectal: Not performed. Externally normal.

CBC: Hct 10.3 (static), Retic 11.1K, mild leukocytosis (17.81), mild neutrophilia (14.91), monocytosis (0.76),
Chem: BUN decreased to 106, Creatinine decreased to 3.8, mild decrease in albumin (2.1), phosphorous increased to 8.6

Assessment
1) Azotemia, severe (though improving)- given #2 and age, suspect chronic renal failure, though also likely a degree of pre-renal dehydration. However, there may be an acute component (pyelonephritis, toxin, neoplasia) that is causing an exacerbation of the azotemia vs end stage renal failure. Also cannot r/o post-renal causes such as ureretoliths/strictures/neoplasia.
2) Anemia, non-regenerative – given #1, suspect secondary to renal failure. Though cannot r/o other causes such as anemia of chronic disease/inflammation vs neoplasia
3) Thin/cachexia- r/o secondary to renal failure vs other causes such as IBD/lymphoma or neoplasia
4) Diarrhea- r/o acute causes (dietary indiscretion v toxin v stress v infectious
Prognosis: Guarded to poor long term, though currently doing well in shelter (eating well, active and affectionate)

Plan:
Continue Metronidazole
Continue Panacur
Continue IVF @ 20mls/hr–> turn down to 15mls/hr tonight
Repeat Chemistry daily until azotemia plateaus on fluids- then start SQ fluid therapy
Down to collect UA for tomorrow
Feed k/d diet
Seek NH placement- will need long term at home care and followup with veterinarian to monitor progress; will also need further workup – UA/urine culture/UPC, AUS
VET 991524

18-Jun-2018

18-Jun-2018
18-Jun-2018
Progress Exam
Vet Notes: 11:52 AM

H: Intake on 6/17. Noted to have diarrhea, thin/emaciated and severely azotemic. Given SQ fluids, started on IV fluids (though not running this morning), panacur and metronidazole

CBC-non-regenerative anemia 14.2 (30.3-52.3), leukocytosis 26.36 (2.87-17.02), neutrophilia 24.23 (1.48-10.29), monocytosis 0.82 (0.05-0.67), eosinopenia 0.03 (0.17-1.57)
Chem-severely azotemic creatinine 4.7 (0.8-2.4), BUN >130 (16-36), severe hyperphosphatemia >16.1 (3.1-7.5), mild hyperglobulinemia 5.9 (2.8-5.1)
T4-wnl

S: BAR. <5% dehydrated. Large amount of urine in cage. Soft, brown stool in cage. Eating very well. Very friendly and affectionate.

CRT: <2s. Gums: pale pink, moist
Eyes: Grossly appropriate OU.
Ears: Mild to moderate ceruminous debris
Nasal Cavity: No nasal discharge.
Oral Cavity: moderate dental tartar/periodontal disease
PLN: WNL
Heart: Gallop rhythm auscultated. Pulses adequate and synchronous.
Lungs: Eupneic, lungs clear. No crackles or wheezes bilaterally.
Abd: Soft, non-painful. No palpable masses. No organomegaly appreciated.
U/G: Neutered male. No discharge.
Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Moderate to severe diffuse muscle wasting/cachexia
BCS = 3/9
Integument: Otherwise unremarkable haircoat.
Neuro: Appropriate mentation. Full neurologic exam not performed.
Rectal: Not performed. Externally normal.

CBC: Severe, non-regenerative anemia (Hct 10.3, Retic 7.9- decreased from yesterday, though likely due to rehydration); mild neutrophilia (14.12), monocytosis (0.76),
Chem: BUN 114, Creat 4.6, Phos 7.4 (high end of normal)

Assessment
1) Azotemia, severe- given #2 and age, suspect chronic renal failure, though also likely a degree of pre-renal dehydration. However, there may be an acute component (pyelonephritis, toxin, neoplasia) that is causing an exacerbation of the azotemia vs end stage renal failure. Also cannot r/o post-renal causes such as ureretoliths/strictures/neoplasia.
2) Anemia, non-regenerative – given #1, suspect secondary to renal disease. Though cannot r/o other causes such as anemia of chronic disease/inflammation vs neoplasia
3) Thin/cachexia- r/o secondary to renal failure vs other causes such as IBD/lymphoma or neoplasia
4) Diarrhea- r/o acute causes (dietary indiscretion v toxin v stress v infectious

Prognosis: Guarded to poor long term, though currently doing well in shelter (eating well, active and affectionate)

Plan:
Continue Metronidazole
Continue Panacur
Restart IVF @ 20mls/hr–> turn down to 15mls/hr tonight
Repeat Chemistry daily until azotemia plateaus on fluids- then start SQ fluid therapy
Seek NH placement- will need long term at home care and followup with veterinarian to monitor progress

Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
17-Jun-2018
DVM Intake
Blood Work Interpretation
Vet Notes: 12:57 PM

DVM Intake Exam

Estimated age: 12 year
Microchip noted on Intake? negative
History : stray abandoned outside in a box
Subjective: BAR, ~6-7% dehydrated. Eating well. Diarrhea in the cage.
Observed Behavior – very sweet. Easily handleable. Did well for all medical handling and procedures
Evidence of Cruelty seen – possible neglect
Evidence of Trauma seen – no

Objective
P = wnl
R = eupneic
BCS 2/9
EENT: Eyes clear, ears have mild brown waxy debris, no nasal discharge noted
Oral Exam: adult dentition with moderate dental disease, no oral lesions noted
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: MN
MSI: Ambulatory x 4, paw pads are fluctuant, skin free of parasites, no masses noted, dull hair coat, underweight
CNS: mentation appropriate – no signs of neurologic abnormalities

Assessment:
Geriatric-suspect underlying
Emaciated
Dehydrated
Diarrhea
CKD vs AKI-severely azotemia with hyperphosphatemia
Non-regenerative anemia

Plan: Continue to monitor while at BACC

CBC-non-regenerative anemia 14.2 (30.3-52.3), leukocytosis 26.36 (2.87-17.02), neutrophilia 24.23 (1.48-10.29), monocytosis 0.82 (0.05-0.67), eosinopenia 0.03 (0.17-1.57)
Chem-severely azotemic creatinine 4.7 (0.8-2.4), BUN >130 (16-36), severe hyperphosphatemia >16.1 (3.1-7.5), mild hyperglobulinemia 5.9 (2.8-5.1)
T4-wnl

Start metronidazole 15mg/kg PO BID x5d until 6/22
Gave 100ml LRS SQ
Place IVC, start at 100mg/kg/day
Recheck CBC tomorrow
Start panacur 50mg/kg PO SID x3d until 6/20
Recheck-keep in VS

Prognosis: Poor to guarded longterm prognosis-is stable at this time but will need longterm/hospice care

SURGERY: neutered