DR PEPPER – A1114148
Safe - 6-11-2017 Manhattan
DR PEPPER – A1114148
MALE, BR BRINDLE / WHITE, AM PIT BULL TER MIX, 2 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 06/04/2017, From NY 10457, DueOut Date 06/07/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 2-4 years based on overall appearance and dentition Microchip noted on Intake? Scanned neg History : Found outside by police – no hx available Subjective: Calm, looks around, moves slowly, leans into handler, allows all handling. Flinched when I tried to shave his head. Evidence of Trauma seen – See exam below – possible HBC Objective BCS 5/9, MMs pale pink EENT: Right side of head is moderately swollen. OD moderate blepharospasm, scleral hemorrhage on lateral aspect of sclera – medial sclera and third eyelid are WNL. OS WNL. Mild serosanguinous nasal discharge from right nare. Long strand of saliva hanging from right side of mouth. Left ear – mild erythema in canal, crusty blood in fur behind ear. AD WNL. Large puncture wound (0.5-1 cm dia) on very top of head with pink foamy discharge. While cleaning the wound it appears that there is a large amount of dead space inside the wound. Oral Exam: Pale pink MMs. No swelling or bruising noted in oral cavity. Mild tartar. PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Occasional cough. Lungs clear. ABD: Non painful, no masses palpated U/G: Male intact, testicles S/S. Mild creamy preputial discharge. MSI: Decreased weight bearing on RFL, reluctant to lift LFL unless weight is supported. RFL: medial aspect of carpal pad is avulsed, mild bloody discharge. Skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: 1. Signs of trauma to right and left sides of head, puncture wound on head, avulsed paw pad – R/O hit by car or other large blunt force trauma 2. Coughing – R/O lung contusions vs. airway swelling vs. other cause 3. Mild preputial discharge Plan 1. Rimadyl 0.95 ml SQ given during exam, continue Rimadyl 75 mg PO SID x7 days starting late tonight 2. Start Clavamox 375 mg PO BID x7 days 3. Sedate for thoracic rads, clip/clean head wounds +/- drain placement – today if possible depending on schedule, otherwise tomorrowPrognosis: Good SURGERY: Temporary waiver due to head wounds 1088
A volunteer writes: I thought I was done for the day, and I was leaving I came upon two vet techs cooing and talking baby talk to the cutest little brindle pup. Of course I had to meet this adorable dog who had reduced grown men to baby talk! Dr. Pepper is a tiny little peanut who joins us having suffered some trauma that is being diagnosed and treated. His face is swollen and while he must be uncomfortable he’s a sweet and loving as it gets. Wanting to snuggle and be close, when I stop petting him he snuggles in closer with a gentle tail wag letting me know he’d prefer it if I keep petting him. So sweet. He tilts his head when I make kissy noises at him, doesn’t mind being tethered for some photos, and after a short walk we ran into his favorite vet techs again and snuggled in close to them for more petting. I fell head over heels in love with this little trooper, and hope that he finds his happily ever after in a warm home surrounded by a loving family. He’s just awesome!
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View all entries in: Safe Dogs 2017-06