LUCKY – A1042610

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Manhattan Center

A1042610 LUCKY 5YR MALE BROWN TABBY DSH

STRAY INTAKE: 07/03/2015

 

INTIAL EXAM:

Negative MC

Intact male

BARH but painful

Negative fleas/earmites (held off preventatives)

Back left leg has an old puncture wound (or laceration that penetrated deeply due to myiasis) near tarsals; possible bone involvement but heavily covered in maggots (able to remove some with hemostat, flushed with saline)

Ulcerated tongue along most rostral tip

NOSF

Gave cat 0.3ml buprenorphine IM and set up in medical; will NPO for maggot removal in a.m.

RE-EXAM (7/3):

4pm

very quiet in cage

added heating pad

100cc lrs

calm and confortable all things considered.

Large wound, live maggots still visible

gave 0.1ml Ivermectin sq, 2 mg capstar PO and spray area with frontline.

will manually remove maggots later in day

rostral tongue very bloody

interested in food but hesitant to eat.

accepted syringe feeding

rx clavamox and buprinex

good prognosis with care–amputation is a possibility

PM>

maggots have left wound. large necrotic area around wound.

Amputation probable outcome

RE-EXAM (7/5):

S/O: Patient was BAR this AM – eating well this morning. Attention seeking. No c/s/v/d observed. No urine or stool noted. Given Meloxicam and lasix yesterday during wound cleaning. Currently on pain medication, SQ fluids, and Baytril/clavamox.

H/L = nma, nsr; clear lung fields

mm = pink, moist, CRT< 2sec

MS = Severe swelling noted on distal LHL, starting at area of laceration on dorsal surface of tarsus and extending to the digits. No oozing/discharge noted from laceration.

Attempted to clean off wound with nolvasan solution but patient became agitated.

Px: Fair to good

P: Recommend continue current treatment plan

Recheck tomorrow – consider sedating and clipping around wound for more thorough cleaning and examination of wound.

RE-EXAM (7/6):

patient is alert and much brighter than 7/3

wound is oozing suppurative material, oot very swollen

patient id stable

amputation probablly needed

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