SKITTLES – 25795
Gone - 4-23-2018 Manhattan
GONE 4/23/18 SKITTLES is a 7 yr old kitty who was found outdoors and not moving. She is ataxic and has a head-tilt. SKITTLES also may have a pelvic fracture and other issues causing her to be ataxic. She needs further medical evaluation and a home to recover. SKITTLES is already spayed.
MANHATTAN CENTER
Skittles 25795
Care Center Location: Manhattan
ZIP Code From: 10026
Intake Type: Stray
Medical Behavior: Orange
Age: 7 years
Sex: Spayed female
Weight: 7 lbs.
Vet Notes: 10:54 AM
DVM Intake Exam
Estimated age: Estimated 6-12 years old based on dentition and overall appearance
Microchip noted on Intake? Scanned negative on intake
History : Stray, found outside, not moving
Subjective: Alert, yowls when bothered. Reluctant to walk; ataxic in HLs.
Observed Behavior – Hisses and swats when I try to examine face or place a harness on pt to evaluate walking
Evidence of Cruelty seen – None
Evidence of Trauma seen – None
Objective
BAR, estimated 5% dehydrated based on decreased skin turgor. BCS 3/9. Muscle wasting over HLs.
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Missing left maxillary canine tooth; gingival hyperplasia and possible fracture on left maxillary PM2. Moderate gingivitis over other teeth.
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Tense. Not distended, no masses palpated
U/G: Female, small linear ventral scar palpated and visualized when shaved.
MSI: Muscle wasting HLs. HLs are ataxic and pt falls to one side when walking. Skin free of parasites, no masses noted, healthy hair coat.
CNS: Mild head tilt to the left. Mentation appropriate.
Rectal: Normal externally.
Assessment
1. HL ataxia – R/O central vestibular disease (cerebellar) vs. peripheral (otitis interna, neuropathy) vs. injury to HLs (pelvic fx) vs. other cause
2. Head tilt – R/O related to cause of ataxia vs. other cause
3. Dehydration, underweight – R/O related to cause of ataxia vs. other underlying medical problem
4. Dental disease
Prognosis: Fair
Plan:
1. Sedate with Dexdomitor 0.2 ml and butorphanol 0.1 ml IM
2. CBC/chem/T4/combo test/microchip
3. Pelvic rads
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View all entries in: Gone Cats 2018-04
