9/29/17

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Stray "neighborhood" cat brought in today by ACO due to not using hind legs. QAR- friendly/affectionate- not apparently/obviously painful. Mouth/Teeth - Moist mucous membranes- muddy-pink color- CRT = 1.5 sec Ears - No obvious abnormality Eyes/Nose - No obvious abnormality Heart/Lung - Grade 2/6 systolic heart murmur Abdominal palpation - L kidney feels larger than R- but is normal size - cat is thin and so unable to palpate entire R kidney under ribs- which may also be normal size Reproductive - No obvious abnormality; both testes descended Skin /Hair coat - Small patch of alopecia R caudal thigh- no associated erythema or lesion noted Musculoskeletal - Markedly atrophied rear limbs- very weak rear limbs; able to stand with slightly dropped hocks; superficial pain perception present in both rear limbs; slow rear limb reflexes- but may be due to weakness; moderately decreased ROM of both hips- no crepitus noted; no pain elicited on dorsal spinal palpation Neurologic - No obvious abnormality; cranial nerve exam WNL Rear limb weakness- profound. R/O infectious- traumatic- saddle thrombus. Administered 0.13ml Buprenorphine-SR SQ LR. Administered PRC vaccine SQ LF. Plan: keep comfortable during stray hold- ready for rescue transfer for diagnostics/treatment and neuter if FeLV/FIV test is negative.

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3/9

9/29/17

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BUPRENORPHINE S-R INJ

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9/29/17

PRC

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9/30/17

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Condition today is markedly worse - seems painful- laying in back of kennel- not moving- plaintive yowling. No appetite- hasn't used lietterbox- dehydrated today. Unable to stand. rear limbs are remarkably stiff now. Recommend humane euthanasia- as cat is clearly suffering and pain is not being controlled adequately- if at all.

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