WILL – A1114977

Brooklyn Center

Will A1114977, 3-4 Weeks Old, Gray and White Tabby DSH, Female, 0.8 lbs

Medical::

QAR

Temp : 101.3 F

Female ~ 5 weeks old

Scan negative

Crusted eye due to conjuctivitis

Eye Cleaned by warm water.

Incoordination neurological movement .

Left or right recumbent.

She can not walk or stand on legs.

No fructure or open wound seen.

AMBX4.

DVM Intake Exam

Estimated age: 3-4 weeks

Microchip noted on Intake? none

History : mother in yard with kittens; concerned about this one so was brought in from SIACC

Subjective: BAR, vocal

Observed Behavior – hissed initially but tolerated exam and was kneading during

Evidence of Cruelty seen – no

Evidence of Trauma seen – no

Objective

T = 101.3 P = 200 R = eup BCS 4-5/9

EENT: Mild mucoid ocular discharge and crusting, somewhat yellow/mucopuruelent in color, conjunctiva hyperemic

Oral Exam: all dec teeth erupted (canines and PMs not fully)

PLN: No enlargements noted

H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic

ABD: Non painful, no masses palpated

U/G: F, medium soft bladder, stimulated to urinate (normal yellow urine)

MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat

CNS: intention tremors, ataxia

Rectal: NP

Assessment

3-4 w old F DSH

1. Suspect cerebellar hypoplasia (ataxia, intention tremors) r/o infectious v other

2. Mild dehydration

3. Mild ocular discharge/conjunctivitis r/o URI

Plan

1. 10 ml SQ LRS

2. Clean eyes with eye wash

3. Apply erythromycin

4. Offer cat food/KMR slurry

5. FVRCP, ponazuril, pyrantel, frontline

6. Check for retro in 2 weeks

7. Contact new hope for placement

Prognosis: Fair to guarded

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