SMOKEY STORM – 22975

MANHATTAN CENTER

*DIABETIC*

Smokey Storm 22975

Location: Manhattan

Intake Date: 3/16/18

Intake Type: Owner Surrender

Medical Behavior: Blue

Sex: Neutered

Age: 6 years

Original Location: 10002

 

Medical

Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
20-Mar-2018
Progress Exam
Vet Notes: 12:36 PM

O:
BCS 8/9. BAR, MM Pink, CRT <2
Eyes: clear, no discharge.
Ears: mild debris, AU
N/T- clear, no crusts
H/L: no murmur or arrhythmia on auscultation; lung sounds clear bilaterally with no wheezing or crackles.
Abd: large amount of abdominal fat; no palpable masses or organomegaly palpated.
MS: symmetrical. ambulatory x4
skin/coat: urine along hindend; mild scale throughout. otherwise clean, WNL
oral: mild dental calculus and periodontal disease

A:
glucosuria, leukocytes, bacteria – r/O UTI, cystitis
diabetes mellitus — uncontrolled
obese – goal weight ~15-17lbs.
otic debris r/o otitis externa
dental calc / periodontal disease

P:
rx diet: Purina DM — 1/4 cup twice daily.
limit to ~250 calories / day for weight loss.
begin prozinc insulin 1unit SQ q12h AFTER feeding
monitor for hypoglycemia – lethargy, anorexia, seizures
perform BG on 3/22 6 hours post insulin administration
VET 991516

19-Mar-2018

19-Mar-2018
Progress Exam
Blood Work Interpretation
L V T Notes: 10:22 AM

3/20/18- bg at 10:22 am. 352 g/dl

Vet Notes: 12:13 PM

CBC – mild hyperglycemia (286) r/o DM, stress hyperglycemia.
UA – 3+ leukocytes, 3+ glucosuria, bactiuria, hematuria r/o UTI, cystitis, urinary calculi.

Vet Notes: 12:13 PM

O:
BCS 8/9. BAR, MM Pink, CRT <2
Eyes: clear, no discharge.
Ears: mild debris, AU
N/T- clear, no crusts
H/L: no murmur or arrhythmia on auscultation; lung sounds clear bilaterally with no wheezing or crackles.
Abd: large amount of abdominal fat; no palpable masses or organomegaly palpated.
MS: symmetrical.
skin/coat: urine along hindend; mild scale throughout. otherwise clean, WNL
oral: mild dental calculus and periodontal disease

A:
glucosuria, leukocytes, bacteria – r/O UTI, cystitis,
hyperglycemia r/o DM, stress
obese – goal weight ~15-17lbs.
otic debris r/o otitis externa
dental calc / periodontal disease

P:
convenia 1ml SQ one time.
rx diet: Purina DM — limit to ~250 calories / day.
recheck glucose on 3/20 AM PRIOR to feeding
begin insulin on 3/20 if continued elevation
VET 991382

19-Mar-2018
Tech Exam
L V T Notes: 11:45 AM

Blood sample obtained for in house CBC/chemistry. used a 25g needle and the RHL medial saphenous vein. Patient urinated in kennel on way down to medical for blood draw, ran a UA on this sample.

1215
LVT-E 991215
19-Mar-2018
17-Mar-2018
DVM Intake
Vet Notes: 1:21 PM

[DVM Intake]
DVM Intake Exam

Estimated age: 6yo
Microchip noted on Intake? neg
Microchip Number (If Applicable):

History : O/S.

LVT intake last night reported p urinating a lot. BG done at time of CT (260mg/dl) and AZO stick (BLD/HGB neg, BIL neg, UBG normal, KET neg, GLU 3+, PRO 2+, LEU 3+, pH 6).

Subjective: BAR. Nervous and anxious, but friendly and well behaved during PE. No urine litter box overnight.

Observed Behavior –

Evidence of Cruelty seen – n

Evidence of Trauma seen – n

Objective

T =
P = wnl
R = wnl
BCS 9/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: moderate staining
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic.
ABD: Non painful, no masses palpated
U/G: MN
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, generalized scaling
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally

Assessment:
obese
mild hyperglycemia, glucosuria, proteinuria — r/o stress related vs DM

Prognosis: fair, pending further work-up if p has diabetes

Plan:
– repeat blood work and urine dip in 2-3 days, after p has had a chance to calm down and acclimate, to rule out a stress response and whether p has DM
– gabapentin 2mL PO BID x 2 days.

SURGERY: neutered
VET-P 991459

17-Mar-2018
LVT Intake
L V T Notes: 6:49 AM

[LVT Intake Exam]

Microchip Scan: negative, placed 981020025323357
Evidence of Cruelty: no
Observed Behavior: allowed all handling, somewhat aloof
Sex: neutered male
Estimated Age: reported 6y

Subjective: obese, no known health issues; cat urinated a large amount in litter box and on bedding while awaiting exam, urinated again on table top, BG done at time of CT (260mg/dl) and AZO stick (BLD/HGB neg, BIL neg, UBG normal, KET neg, GLU 3+, PRO 2+, LEU 3+, pH 6), no water left in kennel
Eyes: clear
Ears: clean
Oral Exam: moderate staining
Heart: WNL, hard to auscultate through body mass
Lungs: WNL
Abdomen: WNL
Musculoskeletal: obese 9/9 BCS
Mentation: BARH

Preliminary Assessment: obese animal with PU/PD

Plan: DVM intake

Profile

Animal ID: 22975
Animal Name: Smokey Storm
Breed: Domestic Short Hair
This animal came from:
Found Stray
Origin Address

Spay/Neuter status
Yes
Date of Intake
16-Mar-2018
Is this cat having litter box issues?
No
Basic Information:
Smokey Storm is a roughly 6 year old neutered cat whom was found as a stray and kept in the same home for the past 5 and a half years. Unfortunately due to the previous owner having medical issues he was unable to be kept.
Previously lived with:
2 adults
How is this cat around strangers?
Around strangers he is described as shy for a few minutes and plays gentle.
How is this cat around children?
He has not been socialized with children so this behavior is unknown.
How is this cat around other cats?
He was socialized with cats a few years ago and is described as usually tolerant and didn’t play.
How is this cat around dogs?
He has not been socialized with dogs so this behavior is unknown
Behavior Notes
Smokey is known to meow when he wants food, will scratch underneath the bed and is relaxed during car rides. He will struggle during bath time and when having his nails trimmed but isn’t bothered with being brushed, being picked up and held or being placed in the carrier.
Bite history:
He has no known bite histories.
Energy level/descriptors:
low energy level
Has this cat ever had any medical issues?
No
For a New Family to Know
Smokey is described as friendly, affectionate, mellow, shy and quiet. He enjoys playing fetch with his catnip toys and enjoys sleeping on his own cat bed. He was being free fed Fancy feast dry food and would get 1/2 a can of wet food twice a day. He had an uncovered litter box with clumping litter and had scratching posts made of rough rope, cardboard and wood with bark.

Behavior Notes:

Upon intake Smokey allowed all handling. He allowed being collared and was very receptive to head touches. He allowed being taken out of his soft carrier and had a relaxed body and soft eyes. He had a healthy appetite for office treats and allowed the counselor to place him in another carrier.

A volunteer writes: Smokey Storm is a hunky chunk of love with a heart as big as his booty. An old soul, this sweet boy climbed into my lap in 3.2 seconds, looked up at me with emerald green eyes, and couldn’t get enough head rubs and cheek squeezes. I just wanted to take him home, so we could plop on the couch together and talk meow for hours. At 22 pounds, he needs someone willing to help him trim down to a healthier size. So bring on your wands and lasers. If you are looking for a new best buddy to warm your lap and make life much more cozy, come visit Smokey Storm at Manhattan Animal Care Center.

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