ANDREW – A1044158

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MANHATTAN CENTER

ANDREW – A1044158

MALE, BLACK / WHITE, DOMESTIC SH MIX,3 mos
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition INJ SEVERE Intake Date 07/15/2015, From NY 11418, DueOut Date 07/18/2015,

Medical Behavior Evaluation GREEN
Medical Summary BARH scan negative fx on rt front limb, swollen and limping dirty ears cleaned good appt male kitten spoke to Dr 0915 and gave 0.08cc bupren 0.5mg inj and set up bid x 7 days NOSF
Weight 3.2

INTIAL EXAM:

BARH

scan negative

fx on rt front limb, swollen and limping

dirty ears cleaned

good appt

male kitten

spoke to Dr 0915 and gave 0.08cc bupren 0.5mg inj and set up bid x 7 days

NOSF
RE-EXAM (7/16):

very swollen RFL upper region. Cannot palpate fracture but likely humeral fx due to location and degree of swelling.

Eating well. BAR no URI signs

a: fx humerus

P:

needs radiographs and probably surgery but good prognosis

gave 0.1ml 5mg/ml meloxicam sq

 

add clavmox in case of infection

 

RE-EXAM (7/17):

condition unchanged

BAR

 

RE-EXAM (7/18):

BAR.  BCS 4/9.  EATING WITH GOOD APPETITE.

 

PE: EENT WNL, PLN WNL, ORAL EXAM WNL, THORACIC AUSC WNL, ABD PALP WNL, M/S LAMENESS ON RIGHT FORELIMB (TOE TOUCHING LAME), SWELLING AT RIGHT ELBOW — FLUID FILLED, SKIN/HAIR MILD ABRASION OBSERVED AT LATERAL RIGHT ELBOW.  INTACT MALE.  NOSF.

 

CLEANED LATERAL ASPECT OF RIGHT ELBOW WITH NOLVASAN AND ALCOHOL — #15 BLADE USED TO MAKE LANCE — COPIOUS PURULENT MATERIAL FLUSHED FROM RIGHT ELBOW

 

DIAGNOSIS — ABSCESS AT RIGHT ELBOW

 

PROVIDED 0.3ML BAYTRIL IM AT TIME OF EXAM AND CONTINUING FOR NEXT 7 DAYS.   CONTINUE WITH CLAVAMOX AND BUPRNEX AS PREVIOUSLY PRESCRIBED.

 

PROGNOSIS IS FAIR TO GOOD

 

RE-EXAM (7/19):

Previously draines rt elbow abscess is not draining this morning

Removed hair around site, cleansed and applied vetericyn

Pain is under control

 

P

CWCT

Add Clavamox for broader spectrum
BEHAVIOR:

Reaction to assessor: Andrew immediately comes soliciting at the front of the cage.

 

Reaction to door opening: Andrew remains at the front of the cage, soft and relaxed, soliciting attention.

 

Reaction to touch: Andrew rubs on the assessor’s hand and appreciates petting on the head and body.

 

Reaction to Being Picked up: Allows the pickup and remains calm.

 

Placement determination: Beginner

Andrew interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting.

This cat can go to a beginner home.

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