TIGER – 31897

MANHATTAN CENTER

Tiger 31897

Location: Manhattan

Intake Date: 6/21/18

Intake Type: Stray

Medical Behavior: Orange

Sex: Spayed

Age: 5 years

Original Location: 11355

DVM Intake Exam

Estimated age: Estimated 3-8 years old, based on dental disease
Microchip noted on Intake? Scanned neg on LVT intake

History : Feral cat that is regularly fed by the finder – in the last few weeks he has noticed dramatic weight loss

Subjective: Lying in sternal recumbency with her head buried in her food bowl

Observed Behavior – Alert. In kennel, will not allow handling – hisses and growls, uses back feet to claw out of my hands. On exam table, pt sits still and is tense, but allows exam.

Evidence of Cruelty seen – None

Evidence of Trauma seen – None

Objective
BAR, estimated 5% dehydrated, BCS 2/9
EENT: OS buphthalmic, mild mucoid discharge; OD NSF. No nasal or ocular discharge noted. Left ear tipped.
Oral Exam: Moderate tartar on PM4s; incisors and canines are relatively clean
PLN: Not significantly enlarged
H/L: Eupnic, no coughing or sneezing. NSR, NMA.
ABD: Tucked up, doughy.
U/G: Female, presumed spayed based on ear tipping
MSI: Weak, sternally recumbent for exam but pt appears quite able to use her legs to claw, jump and climb away from me. Greasy hair coat. No masses noted.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Normal externally

Assessment:
1. Emaciation – recent
2. Buphthalmia – R/O glaucoma vs. retro-orbital infection vs. other
3. Dental disease

Prognosis: Guarded

Plan:
1. CBC/chem/T4

CBC:
Anemia (Hct 27.2%)
WBC 14.3 k/ul, eosinopenia (0.04 k/ul), monocytes high normal (0.67 k/ul). Band neuts suspected, WBC abnormal distribution.
Thrombocytopenia – plt 136 k/ul – R/O real vs. clotting/machine error

Chemistry:
Low creat (0.3 mg/dl), normal BUN (20)
Low albumin (2.2 g/dl) – high-normal globulins (5.0 g/dl)
Normal glucose (92), electrolytes, liver values

Normal tT4 – 1.1

ASSESSMENT:
1. Anemia – R/O neoplasia vs. FIP vs. renal disease vs. other
2. Buphthalmia – R/O glaucoma secondary to FIP vs. other cause
3. Low creatinine – R/O muscle wasting +/- renal disease
4. Hypoalbuminemia – R/O loss through kidneys vs. other

Plan:
1. Retroviral test
2. Fundic exam
3. Monitor for further symptoms, monitor weight

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