CASSIUS – A1058296

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Manhattan Center

My name is CASSIUS. My Animal ID # is A1058296. – P

**DIABETIC**
I am a neutered male white and black domestic sh. The shelter thinks I am about 10 YEARS old.

I came in the shelter as a OWNER SUR on 11/18/2015 from NY 10458, owner surrender reason stated was INAD FACIL.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
11/21/2015 Exam Type RE-EXAM – Medical Rating is 4 C – SEVERE CONDITIONS , Behavior Rating is NONE, Weight 10.9 LBS.

11/21/15 16:12 S/O: QAR, eating well, mild serous nasal discharge and sneezing. A: DM mild URI P: continue current treatments needs new hope placement —————————————————– 11/20/15 09:33 S/O: BAR, hydrated, mm’s pink and moist, eating very well. no URI signs. normal urine and BM. A: diabetes mellitus P: feed purina DM wet food only – placed sign continue lantus insulin 1 unit BID as previously Rx needs new hope placement edit: mild nasal congestion and starting to sneeze. start doxy 1.1 ml PO SID x 10 days ———————————————————————————— 11/19/15 18:52 Parameters Results Reference intervals GLU 282mg/dl 74-159 BUN 26mg/dl 16-36 CREA 1mg/dl 0.8-2.4 PHOS 6.4mg/dl 3.1-7.5 CA 10mg/dl 7.8-11.3 TP 8g/dl 5.7-8.9 ALB 2.9g/dl 2.2-4.00 GLOB 5.1g/dl 2.8-5.1 ALT 42U/L 12-130 ALKP 88U/L 14-111 GGT 7U/L 0-1 TBIL 0.6mg/dl 0.0-0.9 CHOL 176 mg/dl 65-225 Na 159mmol/L 150-165 K 4.4mmol/L 3.5-5.8 Cl 118mmol/L 112-129 11/19/15 11:24 o reports pt dx with diabetes in may 2015, not on tx BARH mm pink EENT: OU clean and clear , mod gingitivis H/L wnl MS: BCS 5/9 ABD: full bladder U dipstick neg for ketones ++\ glucose BG 329 GU MN eats wet food very well A: DM P: feed wet food only, give lantus SC 1 cc BID. Gave 1st dose at 11 am

11/18/2015 PET PROFILE MEMO
11/18/15 15:14 BASIC INFO Cassius is a 10 year old neutered cat. His owner adopted him from a rescue group 9 years ago. She surrendered him because she’s moving from her home to travel. Cassius was diagnosed with diabetes in May 2015 and has not been treated with insulin or other medication. SOCIALIZATION Cassius is friendly/outgoing with strangers. He’s relaxed, affectionate, and tolerant with children. He plays exuberantly with people. He used to live with a male cat and was relaxed, affectionate, and played exuberantly with him. Cassius has never bit or scratched anyone. BEHAVIOR Cassius is nervous in the car. He enjoys being brushed, picked up, and held. He doesn’t mind being cleaned with pet wipes or woken up. He’s nervous when put in a carrier. FOR A NEW FAMILY TO KNOW Cassius’s family describes him as friendly, affectionate, playful, mellow, confident, talkative, and low energy. He follows his owner, taps her gently to ask for attention, and likes to sit in her lap. He likes to go in the shower and play in the water and with strings. He lived inside. His owner cooked chicken, fish, and beef for him. She occasionally gave him dry Blue Buffalo cat food. Cassius is littertrained, used a hooded litterbox with clumping litter, and didn’t have accidents. He scratched a vertical carpeted scratching post in addition to a chair designated to him for scratching. INTAKE Cassius was a little tense while we pet him and scanned him (-) and while he walked out of his carrier. He walked around the counter and tolerated being collared, pet, positioned for pictures, picked up, and put in a kennel. He didn’t resist, retreat, or vocalize.

WEB MEMO
No Web Memo

11/21/2015 BEHAVIOR EVALUATION – BEGINNER
Exam Type BEHAVIOR
Cassius’ former owner stated he is friendly/outgoing with strangers. He’s relaxed, affectionate, and tolerant with children. He plays exuberantly with people. He used to live with a male cat and was relaxed, affectionate, and played exuberantly with him. Also, describes him as friendly, affectionate, playful, mellow, confident, talkative, and low energy. Reaction to assessor: Cassius immediately comes soliciting at the front of the cage. Reaction to door opening: Cassius remains standing at the front of the cage, relaxed body posture, soliciting attention. Reaction to touch: Cassius head-butts 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 Cassius interacts with the Assessor, solicits attention, is easy to handle and tolerates all petting. This cat can go to a beginner home.

GROUP BEHAVIOR EVALUATION
No Group Behavior Summary

11/18/2015 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
Sex: Male neutered, reported to be 10 years old Scan: Positive Pt reported by owner to have diabetes. She cooked meat for his meals, and occasionally gave him cat food S: Watchful, tail tapping, gets impatient with exam and yowls O: BAR-H, MMs pink EENT: No discharge OU, nose. Mild discharge AU. Mild tartar and gingivitis. PLNs: Mandibular LNs mildly enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no masses palpated M/S/I: No orthopedic injuries observed. No skin lesions noted. UG: Male neutered A: Externally healthy older male neutered cat with an owner-reported history of diabetes and significant weight loss in the last 6 months Short-term prognosis: Fair P: This patient needs confirmation of diabetes (bloodwork) and definitive treatment, starting with diet change and possibly progressing to insulin injections if needed. Ideally this patient should go to a New Hope partner as soon as possible, to minimize the time spent sitting in a stressful environment without treatment. 1088

11/21/2015 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 C – SEVERE CONDITIONS ,
11/21/15 16:12 S/O: QAR, eating well, mild serous nasal discharge and sneezing. A: DM mild URI P: continue current treatments needs new hope placement —————————————————– 11/20/15 09:33 S/O: BAR, hydrated, mm’s pink and moist, eating very well. no URI signs. normal urine and BM. A: diabetes mellitus P: feed purina DM wet food only – placed sign continue lantus insulin 1 unit BID as previously Rx needs new hope placement edit: mild nasal congestion and starting to sneeze. start doxy 1.1 ml PO SID x 10 days ———————————————————————————— 11/19/15 18:52 Parameters Results Reference intervals GLU 282mg/dl 74-159 BUN 26mg/dl 16-36 CREA 1mg/dl 0.8-2.4 PHOS 6.4mg/dl 3.1-7.5 CA 10mg/dl 7.8-11.3 TP 8g/dl 5.7-8.9 ALB 2.9g/dl 2.2-4.00 GLOB 5.1g/dl 2.8-5.1 ALT 42U/L 12-130 ALKP 88U/L 14-111 GGT 7U/L 0-1 TBIL 0.6mg/dl 0.0-0.9 CHOL 176 mg/dl 65-225 Na 159mmol/L 150-165 K 4.4mmol/L 3.5-5.8 Cl 118mmol/L 112-129 11/19/15 11:24 o reports pt dx with diabetes in may 2015, not on tx BARH mm pink EENT: OU clean and clear , mod gingitivis H/L wnl MS: BCS 5/9 ABD: full bladder U dipstick neg for ketones ++\ glucose BG 329 GU MN eats wet food very well A: DM P: feed wet food only, give lantus SC 1 cc BID. Gave 1st dose at 11 am

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