GUMMY BEAR – 11651
Safe - 11-7-2017 Brooklyn
GUMMY BEAR – 11651
*NEEDS SURGERY ASAP*
6 Years Old, Medium Tan Mix, Neutered, 29 lbs, Stray 11/03/17
Medical: 11/05/17: Progress exam; History : Stray intake 11/4-grade 4/4 MPLs-started on rimadyl.; Subjective: BARH. No c/s/v/d. Has a very difficult time standing and walking without assistance; Objective ; P = WNL ; R = WNL ; BCS 3/9; EENT: Eyes clear, no nasal discharge noted; Oral Exam: limited oral exam due to muzzle; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic; ABD: Non painful, no masses palpated; U/G: MN; MSI: Ambulatory x 4-able to stand with assistance but often face plants when exiting cage. Difficulty walking in HLs, grade 4/4 MPL bilaterally, cachexia MCS 1/3, no pain elicited on ortho exam but did not appreciate exam, skin free of parasites, no masses noted, healthy hair coat; CNS: mentation appropriate – no signs of neurologic abnormalities; Assessment: Bilateral grade 4/4 MPL; Underweight; Cachexia; Plan: Continue rimadyl 25mg PO q12 until 11/8-rec cbc/chem if rimadyl to be continued past this day; 2 view LHL and pelvic rads-medial luxating patellas bilaterally, some degenerative changes in hips bilaterally (osteophytes forming around head of the femur); Sedated with dexdomitor 0.44ml IV + butorphanol 0.27 IV and reversed with antisedan IM same amount as dexdomitor; Will require surgical repair; Prognosis: Fair with appropriate treatment/surgery/care; poor quality of life without surgery
During intake, counselor approached and Gummy Bear became stiff and would watch counselor without breaking contact. He would whip around when harness was being taken off. NO handling was done.
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