SUGARPLUM – 16844
Safe - 1-3-2018 Manhattan
SAFE 1/3/18 SUGARPLUM was brought into the shelter while in process of giving birth. She had stillborn kittens and has pyometra for which she is being treated. She is 2 yrs old and friendly and needs a furever home where she can get some TLC and care.
Intake Date: 12/24/17
Intake Type: Stray
Medical Behavior: Green
Sex: Spayed Female
Age: 2 years
Weight: 8 lbs
Zip Code: 13904
Vet Notes: 12:27 PM
DVM Intake Exam
Estimated age: 1-3 years based on dentition and overall appearance
Microchip noted on Intake? Not scanned due to nature of intake
History : Gave birth to one kitten around 10am – it was stillborn. Client put pt in a box and rushed her to the shelter.
Subjective: Alert, tachypneic, not interested in getting up. Faint smell of infected tissue – cannot determine where it is coming from.
Observed Behavior – Allows basic handling
Objective (exam around 11:15am)
BAR, BCS 5/9, MMs pink and moist
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Clean adult teeth
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Tachypneic, lungs quiet
ABD: Distended, soft, multiple masses (fetuses) palpable
U/G: Female, in process of giving birth. Mild bloody vaginal discharge.
MSI: No wounds noted, skin free of parasites, no masses noted, healthy hair coat.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally
Assessment: In process of giving birth, first kitten was about 90 min ago and stillborn.
Plan: Place pt in Nursery to give her a quiet space. Monitor for two hours – if queening is not progressing, I recommend bloodwork and rads, consider surgical OHE.
Okay for spay if emergency. If pt can deliver healthy kittens – then a temporary waiver due to nursing kittens will be given.
Vet Notes: 3:13 PM
Hx: Admitted 12/24 after giving birth to one stillborn fetus. The following day pt produced another stillborn fetus.
S: Alert, purring, allows all handling
O: BAR, estimated 8-10% dehydrated, BCS 5/9, MMs pink
EENT: No discharge OU, AU, nose.
H/L: NSR, NMA. Eupnic, quiet lung sounds.
Abd: Doughy, distended. Not painful on palpation. Firm mass (suspected fetus) palpated in caudoventral abdomen.
M/S/I: Amb x4. No skin lesions noted.
UG: Female, bloody discharge on vulva and hind legs.
Neuro: Alert and appropriate, no sign neurological deficiencies
A: Suspected pyometra/fetal retention
Short-term prognosis: Good-fair
1. Place IVC, run LRS at 25 ml/hr
2. Run CBC/chemistry and take abd rads
Vet Notes: 3:17 PM
CBC: Hct 30%, WBC 6.99 k/ul, severe neutrophilia with suspected bands 0.12 k/ul, severe monocytosis 5.31, thrombocytopenia 125 k/ul
Chemistry: mild hyperglycemia 211, hyperglobulinemia 5.8, GGT 31
Abd rads – two large tubular fluid/soft tissue opacity masses visible in ventral abdomen that are consistent with an enlarged uterus. A skeleton is visible in the right horn and body of the uterus – it is extended as if the amniotic sac is breaking down.
A: Fetal retention and pyometra
Short-term prognosis: Fair-good
IVC placed, LRS started at 25 ml/hr
1. Ampicillin 0.5 ml IV slowly BID
2. Enrofloxacin 22.7 mg/ml 0.8 ml IV slowly SID
3. Simbadol 0.5 ml SQ SID
4. Ovariohysterectomy tomorrow
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View all entries in: Safe Cats 2018-01