LUCKY – A1042610
*SAFE* 07/07/15 –
Lucky was brought to use recently by a heroic patron. He was found with a serious wound. The wound has gotten better but he still needs medical. Please pull from MACC!
A1042610 LUCKY 5YR MALE BROWN TABBY DSH
STRAY INTAKE: 07/03/2015
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
Gave cat 0.3ml buprenorphine IM and set up in medical; will NPO for maggot removal in a.m.
very quiet in cage
added heating pad
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
maggots have left wound. large necrotic area around wound.
Amputation probable outcome
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.
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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