MARBLE – A1032992
4-20-2015 Manhattan
SAFE 04/20/15 Marble has got a lot going on. Poor girl was brought in not looking so good. She was found with as a stray with an injury on her right eye and a fracture in her left femur. She was a little cautious when first handled by our medical staff which is understood seeing in how much pain she must be in. Marble does however allow touch and to be handled for her exam. She just needs some help quickly and to go to a hospital where she can get a full work up quickly. Please help this girl out she really needs you at MACC.
SUPER URGENT
Manhattan Center
MARBLE – A1032992
I am an unaltered female, calico Domestic Shorthair mix.
The shelter staff think I am about 2 years old.
I weigh 8 pounds.
I was found in NY 11422.
I have been at the shelter since Apr 12, 2015.
INTIAL EXAM 4/12/15:
Hx: Just brought in, right eye and left leg injuries. Apparently ambulated surprisingly well on only 3 legs.
S: Scared, moves away from touch but submits for exam when scruffed
O: BCS 6/9, BAR. Limited exam performed due to severity of injuries and temperament.
EENT: OD firm swelling surrounding orbit, clotted blood coming from periorbital tissue. When blood is blotted or washed away with eye wash, fresh blood oozes from the orbit. Globe not visible among swelling. OS: moderate corneal opacity and neovascularization covering most of cornea. Dirt and debris in mouth.
H/L: Not ausculted. Pt does not appear to be in resp distress.
Abd: Not palpated.
M/S/I: Left hind leg: midshaft femoral fracture. Polydactyl.
UG: Not assessed
A:
- Left femur fracture
- Right eye traumatic injury
- Left eye corneal opacity and neovasc – R/O chronic scarring vs. acute corneal swelling
- Needs full exam
Short-term prognosis: Guarded
P:
- Gave 0.1 ml hydromorphone IM during exam
- Sending to MACC for overnight observation
- Try to place via NH with a 4/13/15 at 7pm deadline
- Continue 0.1 ml hydro IM q12 x2 days
- LRS 150 ml SQ SID x2 days
- Needs sedation for left leg bandaging and right eye more complete exam; ultimately needs left leg stabilized via internal fixation +/- right eye enuc
- Needs left eye fluorescein stained and addressed
RE-EXAM 4/13/15
4/13
S/O:
Appearance: BARH
Integument: Appropriate hair coat, normal nails, prolonged turgor
EENT: OU clear, AU clean, No nasal d/c, OS corneal scarring/opacity, OD- severe superior lid trauma, possible globe rupture, prolapsed nictitans
Oral cavity: MM pink, CRT <2sec, mild tartar, tacky
PLN: WNL
H/L: No murmur or arrhythmias, Lungs clear
ABD: Soft non painful,
U/G: female intact
M/S: Amb x 4, left femur fracture, mid-diaphyseal, moderate ST swelling
BCS: 4/9
Neuro: NSF
A
Left femur fracture
OD trauma- severe
P
Sedate 0.1 ml TTDex, flush eye
Admin 150 ml SC LRS, 0.1 ml Buprenex SR
Start Amoxi Clav
INTIAL EXAM 4/14/15:
4/14QAR eating well
A:Left femur fracture – gets around the cage well
OD trauma- severe
P:cage rest
CWCTP
NH placement needed
Stable to stay in medical for treatments
Px Guarded to Fair with proper care, Long term good Px when injuries are healed
PROFILE 4/12/15
CAT INFORMATION SHEET
Where did this cat come from?
Stray – Outside
ORIGINAL SOURCE
Found as Stray
Does this cat have a microchip?
No
Animal’s Name:
A1032992 (Animal ID number)
WHY ARE YOU BRINGING THIS CAT IN?
Is a Stray – looks sick/injured
RELATIONSHIP
It’s the first time I’ve seen cat
PEOPLE
Is as stray – runs away when approached.
PERSONALITY
Is a stray & deems scared
HABITS
Is a stray & seems to find food around
ALL LOCATIONS:
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View all entries in: Safe Cats 2015-04