12/17/2022

DVM Intake Exam Estimated age: 3-5yrs Is this an orphan kitten? no Is the kitten eating on own? n/a Is the kitten suckling? n/a Microchip noted on Intake? negative History: picked up by field Subjective: Cat is BARH Observed Behavior - pupils dilated OU, moving around but allows handling Evidence of Cruelty seen - no Evidence of Trauma seen - yes Objective T = WNL P = WNL R = WNL BCS 1-2/9 EENT: Eyes clear, ears clean AD debris AS, no nasal or ocular discharge noted Oral Exam: Healthy adult dentition PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male neutered MSI: Ambulatory x 4 with what appears to be old fracture mid-radius/ulna LFL, tapeworm segment noted at anus, no masses noted, healthy hair coat, small superficial wound left upper rostral lip CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: NE Wood's Lamp Exam: NE Radiographic interpretation: lateral view of LFL reveals mid-diaphyseal, complete, transverse fracture of the radius and ulna with non-union and callus formation. Recommend amputation. Bloodwork interpretation: Mild-moderate anemia without reticulocytosis - Likely non-regenerative anemia; consider pre-regenerative anemia. BW otherwise, unremarkable. Assessment Approx 3-5yr old neutered male DSH Underweight Fracture LFL Tapeworms Anemia Prognosis: Good-Guarded Plan: Completed intake tasks Gave Praziquantel: 0.4ml SQ once Handed off to Rounds Team to sedate for radiographs of LFL (see interpretation above). Pull blood for in-house CBC/CS/T4 (see interpretation above) Sedated with Dex/Torb 0.05ml each and reversed with Atipamezole. Start Simbadol (1.8mg/ml): 0.32ml SQ SID x 3d, 12/17-12/19, first dose given, next due tomorrow PM Start Gabapentin (100mg/ml): 0.24ml PO BID x 7d, 12/18-12/24 Keep in medical for monitoring. Vet check scheduled for 12/18. SURGERY: Already neutered

12/20/2022

Progress exam Subjective: BAR, no c/s/v/d. Excellent appetite, purring and affectionate in kennel Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge Nasal Cavity: No nasal discharge. Lungs: Eupneic Musculoskeletal: Ambulatory x 4, weight bearing lameness with severe angular deformity LFL. Moderate diffuse muscle wasting. Neuro: Appropriate mentation. Assessment: -Malunion LFL -Underweight -Tapeworms (treated 12/17) -Mild-moderate anemia Prognosis: Good Plan: -Increase gabapentin to 15 mg/kg PO q12h indefinitely -Okay to d/c simbadol -Start third feedings x 7d until 12/26 -Keep in medical to monitor weight gain

12/21/2022

Recheck underweight, old fracture/malunion, anemia S/O: BAR, active and affectionate, leaning into petting Eating very well, no c/s/v/d LF held up when sitting, juts out at abnormal angle mid antebrachium; uses that limb to reach out and paw gently at me A: Old fracture/malunion Underweight - eating v well Anemia P: Continue third feedings until 12/26 and gabapentin 10 mg/kg PO BID indefinitely in shelter, CTM in medical. Will likely need amputation.

12/26/2022

Patient BAR and friendly with excellent appetite. Mild frequent sniffling. Plan: Start Fortiflora 1 packet PO q24 x 10 days Monitor for further URI signs