TROUBLE aka BELLER – 22533
Safe - 3-23-2018 Brooklyn Rescue: Feline Rescue of SI Please honor your pledges: http://felinerescueofstatenisland.org/donation/
SAFE 3/23/18 Sweet Kitty TROUBLE aka BELLER Had A Pyometra, Now Spayed, NEEDS PLACEMENT ASAP!
Brooklyn Center
Trouble aka Beller 22533 – 2 yr. female black/white cat:
KNOWN HISTORY:
Beller was brought in as a stray, so we cannot speak to her behavior in her previous home.
MEDICAL BEHAVIOR:
03/10/18
Active, tries to flee from table but allows all handling.
ENRICHMENT NOTES:
03/11/18
Sitting upright towards front of kennel. Makes eye contact when spoken to. She leans and shifts away from my hand, lowering her body in an attempt to avoid touch. Vocalizing in front of kennel after interaction has ended. Needs more time to adjust.
03/12/18
Lying down by the back, but gets up when spoken to and slowly approaches the front. Retreats and lies back down when door opens, but comes forward again when coaxed. Hesitant with touch and stress meows at times, but eventually warms up and pushes up slightly, lifting rear. Starts to eat food and allows petting all over after. Still a little unsure, but warming up!
03/13/18
Crouched in the back of the kennel. Seems hesitant and shifts away when I approach the kennel. Keeps body lowered and vocalizes. Appears conflicted; grumbles, but rolls around and solicits attention when coaxed. Sniffs my hand, then rubs up for attention. Her tail rises up when pet along her back and she slowly starts to build up confidence. Still a bit skittish, retreats and vocalizes when she hears a loud noise or when someone walks by the cage.
Cage Condition:
Cage is recently cleaned
Reaction to assessor:
Beller was crouched in the back of the kennel and starts to grumble when the assessor approaches the kennel.
Reaction when softly spoken to:
Beller rolls over on her side and rubs against the kennel furnishings when spoken to softly, but continues to grumble and growl.
Reaction to cage door opening:
Beller tenses up and lip licks.
Reaction to touch:
Beller leans away and seems hesitant when the assessor extends his hand out. She sniffs his hand and leans in for attention, allowing petting along her body. She seems conflicted and continues to vocalize, but has a soft body and allows all handling.
Reaction to being picked up:
Beller tenses up and hisses when picked up.
ACTIVITY LEVEL:
Mellow
VOCAL:
Somewhat chatty
CHARACTER TYPE:
Curious
POTENTIAL CHALLENGES:
None
BEHAVIOR DETERMINATION:
Experienced, adult only
Behavior Asilomar
TM – Treatable-Manageable
RECOMMENDATIONS:
None
BEHAVIOR SUMMARY:
Beller tolerates attention and petting but may be fearful or stressed in the shelter, and may be intimidated by small children. She may be a little more independent, and may need time to warm up to her new home. Due to the behaviors seen in the care center, we feel that this cat will do best in an experienced, adult only home.
13-Mar-2018
Progress Exam
Vet Notes: 11:01 AM
Recheck post op pyometra surgery 3/11
S/O: BAR. Flees to other side of cage.
EENT: Eyes clear, mild mucoid nasal discharge
HL: No sneezing observed, normal RR/RE
INTEG: Full coat, dirty
MS: Ambulatory x 4
UG: Spayed
A: Doing well post op, URI
P: OK to move out of medical and into isolation for remainder of treatment.
VET 990844
12-Mar-2018
Progress Exam
Vet Notes: 8:32 AM
Progress exam
History : Stray intake 3/10-reported that the cat gave birth last week and ate the neonates. Started on IVF, clavamox, pradofloxacin. Gave one dose PPG and baytril SQ.
CBC: Moderate non-regenerative anemia, mild leukocytosis characterized by a moderate neutrophilia with left shift, moderate thrombocytopenia
Chem: Very mild hyperglycemia, Mildly increased BUN, Mild hyperproteinemia and hyperglobulinemia
Radiographs: Lateral and VD abdomen – Large amount of gas in colon with feces, normal gas in small intestines, soft tissue mass effect at caudal abdomen that is possibly the bladder, no fetal skulls or skeletons noted
3/11-spayed (pyometra), started on simbadol
Subjective: BAR, ~5% dehydrated. No vulvar d/c this morning and spay incision cdi. Empty litter box but great appetite with some encouragement. No csvd but is congested. Friendly and allowed PE. Will maintain on fluids at least one more day but may be stable enough to move to iso tomorrow as she looks markedly better today than yesterday before surgery.
Objective
P = WNL
R = WNL
BCS 4/9
EENT: Eyes have serous d/c ou, ears clean, mild serous nasal d/c with congestion
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic but congested
ABD: Non painful, no masses palpated
U/G: FS, spay incision cdi, no vulvar d/c, no MGTs
MSI: Ambulatory x 4, skin free of parasites, no masses noted, dirty hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment:
Spayed 3/11-pyometra
URI
Mild dehydration-improving
Inflammatory leukogram – infection
Moderate anemia and thrombocytopenia
Stress hyperglycemia
Prognosis: Good with appropriate treatment
Plan:
Continue IVF LRS @ 90ml/kg/day
+/- pull IVC and move to iso tomorrow if continues to do well
Continue clavamox until 3/19
Continue pradofloxacin until 3/15
Continue simbadol 0.24mg/kg SQ SID until 3/13
Start nebulization SID x3d until 3/14
11-Mar-2018
Spay/Neuter Summary
Vet Notes: 12:34 PM
Cat Spay
Was this cat in heat, pregnant or have a pyometra?
yes, pyometra
Ventral Midline Incision
Ovaries Ligated with: autoligation
Uterine Body Ligated with: 3-0 PDS with a modified miller’s and transfixation pattern on each side
Abdominal Closure:
3-0 PDS continuous linea alba closure
3-0 PDS continuous subcutaneous and intradermal closure
Green Linear Tattoo Placed on Midline
Surgeon: 1416
Additional Comments: maintained on 15ml/kg/hr during surgery, after surgery dropped down to 120ml/kg/day for the remainder of the day.
VET 991416
11-Mar-2018
Progress Exam
Pre-Op Exam
Vet Notes: 8:26 AM
Progress exam
History : Stray intake 3/10-reported that the cat gave birth last week and ate the neonates. Started on IVF, clavamox, pradofloxacin. Gave one dose PPG and baytril SQ.
CBC: Moderate non-regenerative anemia, mild leukocytosis characterized by a moderate neutrophilia with left shift, moderate thrombocytopenia
Chem: Very mild hyperglycemia, Mildly increased BUN, Mild hyperproteinemia and hyperglobulinemia
Radiographs: Lateral and VD abdomen – Large amount of gas in colon with feces, normal gas in small intestines, soft tissue mass effect at caudal abdomen that is possibly the bladder, no fetal skulls or skeletons noted
Subjective: BAR, ~5% dehydrated. Still has severe amount of purulent vulvar d/c and also has signs of a URI.
Objective
P = WNL
R = WNL
BCS 4/9
EENT: Eyes have serous d/c ou, ears clean, mild serous nasal d/c with congestion
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic but congested
ABD: Non painful, no masses palpated
U/G: FI, severe purulent vulvar d/c, no MGTs
MSI: Ambulatory x 4, skin free of parasites, no masses noted, dirty hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment:
R/o Pyometra vs post-natal d/c vs retained fetuses vs other Hx of giving birth last week, unknown if babies were still born or died soon after birth, but queen observed eating neonates
URI
Mild dehydration
Inflammatory leukogram – infection
Moderate anemia and thrombocytopenia
Stress hyperglycemia
Prognosis: Good with appropriate treatment
Plan:
Continue IVF LRS @ 90ml/kg/day
Continue clavamox until 3/19
Continue pradofloxacin until 3/15
Spay today
Start simbadol 0.24mg/kg SQ SID x3d post-op
VET 991416
10-Mar-2018
Blood Work Interpretation
Radiograph Review
Vet Notes: 5:22 PM
Blood work
CBC
Moderate non regenerative anemia
Mild leukocytosis characterized by a moderate neutrophilia with left shift
Moderate thrombocytopenia
Chem
Very mild hyperglycemia (stress)
Mildly increased BUN
Mild hyperproteinemia and hyperglobulinemia
A: Inflammatory leukogram – infection
Moderate anemia and thrombocytopenia
Stress hyperglycemia
Signs of dehydration
Radiographs
Lateral and VD abdomen – Large amount of gas in colon with normal fecal balls, normal gas in small intestines, soft tissue mass effect at caudal abdomen (doesnt appear to be bladder), unable to visualize uterus, no fetal skulls or skeletons noted
A: Possible uterine infection +/- retained macerated fetus
P: Continue with current treatment and monitoring plan
VET 990844
10-Mar-2018
DVM Intake
Vet Notes: 3:22 PM
DVM Intake Exam
Estimated age: ~2yrs
Microchip noted on Intake? no
History : Stray, brought in by field – known caretaker – reported that the cat gave birth last week and ate the neonates
Subjective: Q/BAR. ~8% dehydration. Eating well
Observed Behavior – Active, tries to flee from table but allows all handling.
Evidence of Cruelty seen – no
Evidence of Trauma seen – no
Objective
T= 102.6F
P = WNL
R = WNL
BCS 4/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Pink mm, mild dental stainign
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated, soft mass at caudal abdomen
U/G: Female, purulent vaginal discharge
MSI: Ambulatory x 4, skin free of parasites, no masses noted, dirty hair coat, purulent discharge and matting around hind end
CNS: Mentation appropriate – no signs of neurologic abnormalities
Assessment: Hx of giving birth last week, unknown if babies were still born or died soon after birth, but queen observed eating neonates
Marked dehydration
Purulent vaginal discharge – suspect pyometra, +/- possible retained macerated fetus
Prognosis: Good with appropriate treatment
Plan: IVC placed in right cephalic vein – LRS 45ml bolus given in 20 minutes, maintained on 10ml/hr. PPG 0.25ml IM and baytril 0.8ml SQ given. Continue clavamox 0.5ml PO q12 x 10 days, pradofloxacin 0.7ml PO q24 x 7 days.
SURGERY:
Rec spay ASAP – scheduled for 3/12 to allow patient to rehydrate and start antibiotics
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