MUFFIN – A1046858
MUFFIN – A1046858
MALE, GRAY TABBY, DOMESTIC SH MIX,2 mos
STRAY – ONHOLDHERE, HOLD FOR DOH-HB Reason STRAY
Intake condition INJ SEVERE Intake Date 08/06/2015, From NY 11374, DueOut Date 08/16/2015,
Medical Behavior Evaluation GREEN
Medical Summary Scanned negative QAR – mild dehydration. patient, allowed handling M~ 2 months left hind leg gashed. Tendons exposed. 0.05mL Telazol given for exam, clip and clean. Left eye sclera visible/inner eyelid closed over ulceration/scarring. Conjunctivitis noted by vet. Swelling along upper lips – possible oral ulcers ears – normal nose – normal REPORT: PATIENT WAS ADMINISTERED 0.03 MG/KG BUPRENEX SQ ONCE WHILE SEDATED LARGE LACERATION OVER THE DORSAL ASPECT OF THE LEFT TARSUS – MUSCLE AND TENDON EXPOSED – APPEARED TO BE DRYING OUT, BUT STILL VIABLE, NO SIGNIFICANT AMOUNT OF DEBRIS APPLIED STERILE LUBRICATION AND CLIPPED AROUND. LACERATION APPEARED TO BE APPROX 3 CM IN LENGTH WHEN TARSUS WAS FLEXED, ABLE TO BRING SKIN TOGETHER EASILY, WITH LITTLE TENSION FLUSHED WOUND USING NOLVASAN AT MEDIUM PRESSURE. ABLE TO OBTAIN A GOOD VASCULAR SUPPLY THEREFORE PLACED 2 CRUCIATE SUTURES AND 1 SIMPLE INTERRUPTED SUTURE USING 3-0 MONOCRYL APPLIED SSD CREAM AND E-COLLAR RECHECK TOMORROW
S/O: BAR, hiding under blanket. Wound has minimal exudate, serous crusting just around margins. Granulation tissue present. No excess swelling or signs of inflammation. Attemted to examine eye, third eyelid elevated and neovascularization seen, original lesion not visualized due to shrunken globe.
A: Healing wound
P: ok to move to adotions, will recheck wound and eye for progress. Continue with current treatment plan
VC: LH WOUND, REMOVE SUTURES
BAR, NO VDCS, APP ++
LH CRANIAL HOCK 2 CM OPEN WOUND WITH HYPERGRANULATION BED, SUTURES DEHISCED AND IN SCAB HANGING OFF OF WOUND MARGIN, SEROUS EXUDATE FROM WOUND, TOLERATES EXAM
OD CORNEAL SCAR, MICROPTHALMIA, THIRD EYELID ELEVATED
REMOVED SUTURE AND SCAB
APPLIED SSD BID X 7 DAYS
CONTINU AUGMENTIN 0.38 CC PO BID X 7 DAYS
RC WOUND IN 3 DAYS
Vet check for wound:
BAR on presentation. Timid. Weight bearing on LHL, wound is healing, no excess discharge or swelling.
P: Extend buprenorphine
VET CHECK – MONITOR APPETITE
BAR. ATE SOME FOOD OVERNIGHT. FRESH FOOD AVAILABLE.
CONTINUE TO MONITOR WHILE AT BACC. GOOD PROGNOSIS
S/O: VET CHECK TO RECHECK LHL AND CONJUNCTIVITIS
QAR ON PRESENTATION
DID NOT APPEAR TO HAVE EATEN AM MEAL
OS: POSS. EARLY CORNEAL SCARRING
LHL APPEARS TO HAVE SOME SWELLING FROM TH DISTAL ASPECT OF THE SUTURE SITE. SUTURES ARE INTACT – MILD SEROSANGUINOUS DISCHARGE NOTED, SQ EMPHYSEMA ALSO PRESENT
E-COLLAR NOT PLACED DUE TO TOO SMALL A SIZE NEEDED
A: WOUND, LHL
P: CONTINUE CURRENT COURSE OF MEDS
GAVE 0.05 ML MELOXICAM SQ ONCE.
Reaction to assessor: Muffin was calm and relaxed by the front. He backs away a little and looks at the assessor when softly spoken to.
Reaction to cage door opening: Muffin remains motionless.
Reaction to touch: Muffin was hesitant of touch, but remains in place and closes his eyes. He warms up after a while and slowly comes to the front, but is still shy and unsure of interaction.
Reacting to being picked up: Muffin remains calm and allows handling when you go very slow.
Behavior Determination: Experience
Muffin tolerates attention and petting but may be fearful or stressed in the shelter. He may be a little more independent, and may need time to warm up to his new home. We recommend that this cat go to a home with experienced cat parents.
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