CINDY – A1058335

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Manhattan Center

CINDY – A1058335
MALE, BLACK / WHITE, DOMESTIC SH,4 yrs
STRAY – STRAY WAIT, NO HOLD
Reason STRAY
Intake condition INJ SEVERE Intake Date 11/18/2015, From NY 10463, DueOut Date 11/21/2015,

Medical Behavior Evaluation BLUE

Medical Summary
BAR scan negative mild dehydration poss HBC dragging rt hind limb limping on left hind limb spoke to Dr J and explained gave 0.28cc bupren SQ and set up for 10 days no wound seen nervous, tense mild tartar dirty ears cleaned dirty coat male intact 1 cc pyrantel po activyl topically NOSF
Weight 10.5

INTIAL EXAM:

BAR

scan negative

mild dehydration

poss HBC

dragging rt hind limb

limping on left hind limb

spoke to Dr J and explained

gave 0.28cc bupren SQ and set up for 10 days

no wound seen

nervous, tense

mild tartar

dirty ears cleaned

dirty coat

male intact

1 cc pyrantel po

activyl topically

NOSF

RE-EXAM:

11/20/15 10:11

S/O: QAR, unable to stand or walk, hind limbs will move (motor present) but not voluntarily, tail tone present, anal tone present but passing feces (diarrhea) on exam (suspect because unable to posture to defecate in the litter box). exam same as yesterday.

A: hind limb paresis – cause unknown

diarrhea

P: add metronidazole 1 ml PO BID x 5 days

add feed i/d only

add gabapentin 2 ml PO BID

needs new hope placement – recommend neurology consult and x-rays to rule out fracture

11/19/15 10:38

QAR mild DH

EENT: OU dilated, RMAX C FX

MS: RH limb absent withdrawal, no signs of external injury, nonpainful, unable to palpated fx

GU MI hindend covered in D and urine

H/L wnl

CNS: withdrawal present on LPL, absent RPL, mentation N, non ambulatory, no pain on spinal palpation, unable to get pain response on pinching of RPL tow

INTEG: tick found and removed from dorsal cervical area–dead

A: RPL paralysis r/o pelvic plexus avulson, tick p+4aralysis (rare in cats), neoplasia, inflammatory

P: gave 100 cc SC LRS, removed tick, added 0.27 CC SC meloxicam (1 day dose) in case of inflammatory origin

ENRICHMENT:

Calm, despite injury. Lay in place and leaned into pets.

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