SPUNKY – 10809

MANHATTAN CENTER

Spunky 10809

Location: Manhattan

Intake Date: 10/25/17

Intake Type: Stray

Medical Behavior: Green

Sex: Female

Age: 4 weeks

 

Initial Exam (10/25/17)

Microchip Scan: N/A, underage
Evidence of Cruelty: no
Observed Behavior: allows handling, friendly and attention seeking
Sex: intact female
Estimated Age: 4w but weighs in less

Subjective: kitten eating on its on with conjunctivitis, reportedly “found in a pipe”
Eyes: OU chemosis and d/c, easily cleaned with moist gauze
Ears: clean
Oral Exam: deciduous breaking through
Heart: WNL
Lungs: WNL
Abdomen: WNL
Musculoskeletal: WNL
Mentation: BARH

Preliminary Assessment: “runty” kitten with conjunctivitis

Plan: DVM intake, MC and CT when of size

 

Re-Exam (10/26/17)

Estimated age: 3 weeks based on dentition and size
Microchip noted on Intake? Scanned neg on today’s exam

History : Found in a pipe alone

Subjective: Mews, crawls around exam table

Observed Behavior – Allows full exam, purring

Objective
BAR, BCS 4/9, MMs pink and moist
EENT: Moderate crusty discharge around OU. Mild crusty nasal discharge. Eyes wide open, not swollen.
Oral Exam: All decid teeth coming in
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Female, intact. A large volume of slightly orange-tinged urine was voided when pt was expressed.
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally

Assessment: Underage orphaned kitten

Prognosis: Fair

Plan:
1. Assist with feeding and urinating as necessary
2. Erythromycin OU BID x10 days
3. Clavamox 0.05 ml PO BID x10 days
4. 15 ml LRS SQ given once during exam

 

Re-Exam (10/27/17)

Hx: Underage kitten with mild conjunctivitis. Overnight, pt was eating on her own when encouraged.

BAR-H, no ocular or nasal discharge today

 

Re-Exam (10/28/17)

Progress exam

History: Found in a pipe alone

S/O: resting comfortably in cage. Energetic, meows, and crawls when taken out. Playful and purrs. No c/s/v. One episode of diarrhea reported this AM. Normal urinations. Eating well on her own.

BAR, BCS 4/9, MMs pink and slightly tacky
EENT: eye open, mild conjunctivitis, clear corneas OU. clear AU, NND.
Oral Exam: All decid teeth coming in, no oral lesions
PLN: No enlargements noted
H/L: NSR, NMA, Lungs clear, eupnic
ABD: Non painful, no masses palpated, distended abdomen
U/G: Female, intact.
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally

Assessment:
approx 3wk FI DSH
Underage orphaned kitten

Prognosis: Fair

Plan:
1. Assist with feeding and urinating as necessary
2. Erythromycin OU BID x10 days – last dose 11/4
3. Clavamox 0.05 ml PO BID x10 days – last dose 11/4
4. 10 ml luke warm LRS SQ given once

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