FIVEL – 28347

FIVEL – 28347

Location: Brooklyn,  Intake Date: 5/17/18,  Intake Type: Stray

Medical Behavior: Green,  Sex: Male,  Age: 10 years,  Weight: 5 lbs

Original Location: 11422

H: Intake on 5/17- noted to be underweight, dental disease and moist dermatitis and causeous material around scrotal region; Given one injection of rimadyl 7.5mg sq; and started on clavamox 32.5mg bid x 14d; CBC/Chem; CBC- moderate to severe leukocytosis (25.78K), Neutrophilia (21.2K); Chem- BUN 60, Creat 1.6 (mild azotemia), hypercalcemia (13.7); S: QAR to BAR. Food minimally touched this morning, but ate well last night. Urinated moderate amount last night.   T 101.2F; P 140bpm; R 28bpm; Exam: CRT: <2s. Gums: pink, moist; Eyes: Grossly appropriate OU.  Ears: Unremarkable AU.  Nasal Cavity: No nasal discharge.   Oral Cavity: moderate to severe tartar/periodontal disease ; PLN: WNL; Heart: No murmurs or arrhythmias. Pulses strong and synchronous.; Lungs: Eupneic, lungs clear. No crackles or wheezes bilaterally.  Abd: Soft, non-painful. No palpable masses. No organomegaly appreciated.  U/G: See Integument section- intact male; Musculoskeletal: Ambulatory x 4 with no appreciable lameness; moderate to severe cachexia/diffuse muscle wasting noted ; BCS = 2/9; Integument: Moist, ulcerative dermatitis noted within the inguinal region- the scrotal tissue appears necrotic with mild purulent discharge noted. The fur appears matted around the perineal region. A live maggot was noted on the table during exam, but no further larvae noted.  Neuro: Appropriate mentation. Full neurologic exam not performed.  Rectal: Not performed. Externally normal.  Assessment; 1) Thin/Cachexia  2) Ulcerative dermatitis with areas of necrosis noted (perineum/scrotum/inguinal region), maggot noted during exam- suspect secondary to severe urine/fecal scald combined with matting and inability to groom area–concern for worsening necrosis, and the potential for sepsis/SIRS  3) Dental Disease  4) Azotemia (mild) – r/o pre-renal vs renal ( CKD, acute on chronic renal disease- infectious, toxin, neoplasia) vs post -renal (ureteroliths)  5) Hypercalcemia – r/o true hypercalcemia vs spurious  Prognosis: Fair to guarded ; Plan:  Sedated with Dexmedetomedine 5mcg/kg IV + Buprenorphine 0.02 mg/kg IV once; Applied Lidocaine Splash Block to area; The area of the perineum was clipped of fur/matts, cleaned with chlorhexidine scrub and sterile saline, then flushed thoroughly with sterile saline. ; SSD was applied to the area of ulceration; Continue Clavamox; Added Enrofloxacin 10 mg/kg IM SID x 7 days, then re-eval; Added Buprenorphine 0.02mg/kg IM BID x 5 days, then re-eval ; Given one tablet of capstar; Recommend AUS, UA +/- UC, iCa once placed

For more information on adopting from the NYC AC&C, or to find a rescue to assist, please read the following: http://urgentpodr.org/adoption-info-and-list-of-rescues.

If you are local to the Tri-State, New England, and the general Northeast United States area, and you are SERIOUS about adopting or fostering one of the animals at NYC ACC, please read our MUST READ section for instructions, or email helpdogs@urgentpodr.org. Our experienced volunteers will do their best to guide you through the process.

* We highly discourage everyone from trusting strangers that send them Facebook messages, offering help, for it has ended in truly tragic events.*

For more info on behavior codes and ratings, please click here: http://information.urgentpodr.org/acc-placement-status-descriptions.

For answers to Frequently Asked Questions, please see: http://information.urgentpodr.org/category/frequently-asked-questions/.

You can call (212) 788-4000 for automated instructions.

Previous | Next