FRANK – A1034020
*SAFE* 05/06/15- Frank is a petite purr machine who was surrendered with about 15 other cats because their owner could no longer care for them. Frank began to display some vestibular signs a day after she was brought into the shelter, and would circle to the right when placed on this floor. The majority of Frank’s symptoms have since subsided, but she does still have a slight head tilt, and will require some follow up vet care. Frank loves a good scratch behind her ear, and will fit in with just about any home! Please help Frank find her forever family, and pull her from BACC today!
A staff member writes: With this little kitty, what you see is what you get! I guess that’s why she’s named Frank. Frank is a little purr machine. When I went to say hello, she rolled over for rubs, although she prefers making you do the work and hanging out exactly where she has made herself comfortable. A master of efficiency? Or perhaps this little beauty simply knows she’s already wrapped you around her paw. Come to Brooklyn and fall in love with Frank!
FRANK – A1034020
I am an unaltered female, black Domestic Shorthair mix.
The shelter staff think I am about 1 year old.
I weigh 5 pounds.
I was found in NY 11221.
I have been at the shelter since Apr 22, 2015.
FEMALE, BLACK, DOMESTIC SH MIX,1 yr
OWNER SUR – EVALUATE, NO HOLD Reason PERS PROB
Intake condition UNSPECIFIE Intake Date 04/22/2015, From NY 11221, DueOut Date 04/22/2015, I came in with Group/Litter #K15-010984.
Medical Behavior Evaluation GREEN
female, 1 year
easy to handle for exam
rotary nystagmus, fast phase to left
head tilt & turn to right
circling L & R
None of these symptoms presented yesterday during vaccination
no activyl applied per 1088
Hx: Did not have vestibular signs yesterday when vaccinated; today pt has vestibular signs during intake exam.
S: Easy to handle, meowing, purring quietly
O: BCS 4.5/9. BAR-H, MMs pink and moist, CRT < 2 sec
EENT – No dschg OU, AU, nose. Normal fundic exam. Clean teeth.
H/L – NSR, NMA. Eupnic. Quiet lung sounds.
PLNs – Not enlarged
Abd – Soft, no pain on palp, no masses palpated.
M/S/I – Amb x4, no skin lesions noted.
UG – Female
Neuro: Appears to be alert and oriented, responding to environment normally.
CN 1 (olfactory) ?
CN 2 normal direct and consensual PLRs OU
CN 3 normal PLRs, no strabismus
CN 4 no eye rotation
CN 5 normal jaw tone, normal muscle mass on head
CN 6 no strabismus
CN 7 normal blinking, no facial droop
CN 8 ABNORMAL – pt has head tilt to right, is circling to R (occasionally turns to left, but then turns back to R and circles to R), rotary nystagmus with fast phase to left
CN 9 normal gag reflex, not drooling
CN 10 normal gag reflex
CN 11 normal muscle mass
CN 12 normal tongue strength
Pt is not ataxic and has normal limb reflexes
CBC: eosinopenia (0.03), normal WBC ct, normal Hct, *NO PLATELETS SEEN*!
Chem: decreased BUN (13), decreased creat (0.6), elevated GGT (3)
- Vestibular signs
R/O peripheral vestib dz (more likely given rotary nystagmus) – causes include otitis interna/media, feline idiopathic vestibular disease, nasopharyngeal polyp, trauma, neoplasia
R/O central vestib dz – causes include infectious (incl. FIP), trauma, neoplasia, infarct, metronidazole toxicity
- Thrombocytopenia – R/O real vs. effect of blood clotting
- Keep in Medical
- Cerenia 0.2 ml SQ q24 x5 days
- Monitor for worsening or progression of signs. Otitis may worsen, but idiopathic vestib dz, trauma or infarct may lead to static dz and then slow recovery.
- LRS 100 ml SQ BID
- Monitor appetite and elims
- Recheck daily
- Seek NH placement. Ideally pt would receive a CT/MRI of the skull to get definitive diagnosis.
Hx: Did not have vestibular signs 4/22 when vaccinated; today pt has vestibular signs during intake exam.
S/O: Vet check for vestibular signs, monitoring condition.
BAR on presentation
Blanket in cage is urine soaked
Food does not appear eaten
No stool passed overnight
Right sided head tilt remains
Rotary nystagmus present OU – PLR, palpebral, menace remain intact
No ataxia, however patient intermittently circles to the right
SNP abdomen, no masses palpated
No pain elicited on neck movement
Good propioception otherwise
Neurologic signs – under treatment
Cage Exam: 4/25
VET CHECK – MONITOR CONDITION, VESTIBULAR SIGNS
BARH. GOOD APPETITE. NORMAL URINE IN LITTER BOX
RIGHT SIDED HEAD TILT
P: CONTINUE WITH CURRENT TREATMENT AND MONITORING PLAN. FAIR PROGNISOS
REC NEW HOPE PLACEMENT
good appetite seen for soft and dry food
Hx: Pt had acute vestibular episode on 4/23/15 with right-sided head tilt, circling to right, and rotary nystagmus. On 4/25/15 pt only had a right-sided head tilt. Today pt has urine in litterbox and appears to have eaten some dry food.
S: Timid, sits at back of cage, shies away examiner but then leans into my hand for a head and butt scratch, purrs quietly
O: QAR-H, BCS 4.5/9, MMs pink and moist, CRT <2 sec
EENT: No discharge OU, AU, nose. One piece of litter stuck in pt’s left nare.
PLNs: Not enlarged.
H/L: NSR, NMA. Purring so difficult to assess breathing sounds.
Abd: Soft, no pain on palpation, no masses palpated. Bladder half-full.
M/S/I: Amb x4. No lesions noted.
Neuro: Mild right-sided head tilt. No nystagmus even when pt is placed in dorsal recumbency. No circling observed when pt placed on floor and allowed to walk around.
A: Idiopathic vestibular episode on 4/23/15; all signs have resolved besides a mild right-sided head tilt which may disappear over time or may remain permanently
Short-term prognosis: Excellent
P: No treatment needed at this time
HAS NOT HAD VC STILL NEUROLOGIC, HEAD TILT AND VESTIBULAR SIGNS STILL PRESENT
P:PUT IN FOR VC/ REASSESS, RC EARS, START MEDS
Behavior: Average Home
Notes: Frank was bought into the care center by her previous owner no information regarding her behavior was left. We don’t have any behavioral history previous to what we are seeing during the evaluation. At the time of the assessment she was displaying good behavior, did not come to the front of the kennel but interacts with the Assessor, appreciates attention, is easy to handle and tolerates all petting. Frank is displaying behavior appropriate for new or experienced cat parents.
Reaction to assessor: does not come to front but looks at you, calm, relaxed and friendly (1)
When spoken quietly: does not come to front but looks at you, calm, relaxed and friendly (1)
Reaction to door cage opening: remains soft and relaxed (1)
Reaction to touch: allows petting and attention (1)
Try picking cat up: tolerant of this type of handling.
Placement Determination: Average
CAME IN WITH
WILLIE – A1034011
RICKY – A1034013
TED – A1034014
PETE – A1034015
ALAN – A1034016
DAVID – A1034019
CAROLINE – A1034021
LUNITA – A1034128
LAWRENCE – A1034127
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