JADA – 20009
Safe - 2-7-2018 Brooklyn
JADA – 20009
Small Black and Tan Mix, Owner Surrender 02/05/18
DVM Intake Exam; Estimated age: 10; Microchip noted on Intake? no; History : o surrender; Subjective: QAR- H. ; Observed Behavior – Easy to handle, sweet. Objective T = P = 140-160; R = eup; BCS= 4/9; EENT: Eyes clear. Ears – chronic changes OU with mild- mod brown d/c, L tip of pinnae hole punch size wound with dry blood around but not currently bleeding. No nasal or ocular discharge noted. Oral Exam: mod- marked calculus; PLN: No enlargements noted; H/L: Tachycardia, 4/6 murmur, CRT < 2, Lungs clear, eupneic but cough noted when restrained for HWT and vx. ABD: Non painful, no masses palpated; U/G: Female – no spay scar seen. large vulva but no d/c. Prominent mammary glands. Large mass associated with R cranial mammary gland and L mammary gland # 3 but masses notes near all mammary glands. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal: n/a Assessment: 4/6 heart murmur. Mammary masses. Otitis externa – chronic changes. Wound tip left pinna – not bleeding. Prognosis: Guarded pending diagnosis of masses but suspect mammary tumors. Dog may have worse prognosis in conjunction with heart disease. Plan: Set up to do: 1) 3 view chest/ abd xrays – to check for mets and assess heart dz. 2) CBC/ Chem 3) To do: clean ears if not too stressed. Clip/ clean ear wound left pinna. Have dr recheck. SURGERY: Permanent waiver due to heart murmur.
Let’s get to know each other a bit more…
Basic Information: Jada 7 year old unaltered female, She came to the home as a stray in October and was surrender due to the owner having health issues.
Previously lived with: 2 adults
How is this dog around strangers? Around strangers Jada is friendly and approaches people for soft pets.
How is this dog around children? Jada been around a 2 year old child and is relaxed and gentle.
How is this dog around other dogs? Jada is had never been around dogs.
How is this dog around cats? Jada has never been around cats.
Resource guarding: Jada isn’t bothered with someone touching her food bowl or toys. She is tense during a bath and when an unfamiliar person comes into the home she is friendly.
Bite history: Jada has no bite history.
Energy level/descriptors: high activity level
Has this dog ever had any medical issues? No
For a New Family to Know:
Jada was described as friendly, Affectionate, and mellow. She likes to follow the family around the home and likes to eat dry food, with rice and chicken 2 times a week. Jada she is partially house-trained and has accidents daily but will go out on the grass, or cement. When left alone she is well behaved. Jada goes on walks off leash, and stays close to the owner.
Upon intake Jada was friendly and allowed the counselor to collar her she did struggle when the counselor tries to pick her up but showed no signs behavior concerns.
My medical notes are…
Progress exam; History : o/s 2/5; Subjective: BARH. Very friendly and energetic. No csvd. Has rubbed raw area on nose from cage bars.; Objective ; P = wnl; R = wnl; BCS= 4/9; EENT: Eyes clear with nuclear sclerosis ou. Ears have moderate brown waxy debris, Tip of left pinna has an old wound. No nasal or ocular discharge noted.; Oral Exam: Moderate dental calculus; PLN: No enlargements noted; H/L: RR, Grade 5/6 murmur, CRT < 2, Lungs clear, eupneic; ABD: Non painful, no masses palpated; U/G: FI, no vulvar d/c but is enlarged, ~3cm mass associated with R cranial mammary gland and L mammary gland # 3 but masses notes near all mammary glands. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, grade 4/4 luxating patellas bilaterally, small abrasion on nose form rubbing cage; CNS: Mentation appropriate – no signs of neurologic abnormalities; Assessment: Grade 5/6 heart murmur; Multiple MGTs; Otitis externa ; Wound tip left pinna – not bleeding; Grade 4/4 luxating patellas bilaterally; Prognosis: Poor Plan: CBC-mild leukocytosis 17.46 (5.05 – 16.76 K/ÂµL), very mild neutrophilia 15.1 (2.95 – 11.64 K/ÂµL), thrombocytosis 580 (148-484) Chem-mild hyperkalemia 6.2 (3.5-5.8) T4-wnl 3 (1-4) Lateral CXR (only one view due to behavior)-no signs of mets, cardiac silhouette is overall enlarged with aging changes to lungs, no other significant findings; Rec cardiology consult and met check after echocardiogram; Will need longterm management +/- surgery for luxating patellas-will eventually develop arthritis; Cleaned ears and wound on tip of pinna; Rec NH placement; Start mometamax AU BID x14d until 2/20-recheck ears
Details on my behavior are…
Summary (1): According to Jada’s previous owner, Jada did not socialize with other dogs.
2/6: When off leash at the Care Centers, Jada greets a group of small male and female dogs with a soft posture. She explores the pens, mostly keeping to herself.
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View all entries in: Safe Dogs 2018-02