STITCH – 17484

Staten Island Center

17484  – Stitch – 3 month female – 2.75lbs

 

Vet Consultations
Date
Reasons
Vet Notes
Vet
Date Resolved
4-Jan-2018
Progress Exam
Vet Notes: 4:00 PM

Subjective:

recheck exam; eating canned food; given a convenia injection on 1/2/18

Objective

BCS 5/9

EENT: OU- slight nystagmus but improved, pupils symmetric, normal palpebral response, inconsistent menace response AS- moderate amount of tan debris, no polyp seen but unable to visualize tympanum; AD- clean, no nasal or ocular discharge noted
Oral Exam: deciduous teeth, limited exam; mm’s pink
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: FI
MSI: Reluctant to ambulate during exam but ataxia appears improved, flea dirt, no masses noted, healthy hair coat
CNS: still has head tilt to left but improved; normal conscious proprioception; alert and appropriate

Assessment
head tilt, nystagmus, ataxia- R/O otitis interna vs polyp vs infectious vs trauma vs other; improving
flea dirt- treated with Revolution on 1/2/18

Plan:
CBC/chemistry
continue to monitor
simbadol 0.15 mls SQ (x)
VET 991385

4-Jan-2018
Blood Work Interpretation
Vet Notes: 3:48 PM

CBC:
slight neutrophilia- R/O infection vs inflammation vs stress vs other
eosinophilia- R/O parasites vs allergies vs other
basophilia
increased platelets

Chemistry:
mild hyperglobulinemia- R/O chronic infection vs inflammation vs other
VET 991385

2-Jan-2018
Spay-Neuter Waiver Documentation
Vet Notes: 3:46 PM

[Spay/Neuter Waiver – Medical Condition]

Your newly adopted pet has been diagnosed with neurologic signs and the staff veterinarians are issuing a permanent waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.

2-Jan-2018
DVM Intake
Vet Notes: 3:30 PM

[DVM Intake]
DVM Intake Exam

Estimated age: 3 months
Microchip noted on Intake? scan negative

History : stray

Subjective:

Observed Behavior – hissing, swatting, biting glove

Evidence of Cruelty seen -no

Evidence of Trauma seen – neurologic signs

Objective

BCS 5/9

EENT: OU- horizontal nystagmus, pupils symmetric, normal palpebral response, inconsistent menace response AS- moderate amount of tan debris, unable to perform otoscopic exam; AD- mild debris, no nasal or ocular discharge noted
Oral Exam: deciduous teeth, limited exam; mm’s pink
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: FI
MSI: Appears ataxic, flea dirt, no masses noted, healthy hair coat
CNS: head tilt to the left

Assessment
head tilt, nystagmus, ataxia- R/O otitis interna vs polyp vs infectious vs trauma vs other
flea dirt

Prognosis: fair to guarded

Plan:
gave convenia injection 0.12 mls SQ (x)
applied Revolution
recommend placement for further diagnostics and treatment

SURGERY:
Permanent waiver due to neurologic signs

For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues.

If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email [email protected] Our experienced volunteers will do their best to guide you through the process.

* We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.*

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For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/.

You can call (212) 788-4000 for automated instructions.

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