NENA – A1113694
Safe - 6-2-2017 Manhattan
[email protected] and they will help answer any questions you may have.
NENA – A1113694
FEMALE, GRAY / WHITE, SCHNAUZER STAND MIX, 5 yrs
OWNER SUR – EVALUATE, NO HOLD Reason PET HEALTH
Intake condition EXAM REQ Intake Date 05/30/2017, From NY 10453, DueOut Date 05/30/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age:5 Microchip noted on Intake? History : Subjective: liquid blackish bloody diarrhea for one week. produced a small puddle during exam. feces caked on rear end–came in wearing a makeshift ‘diaper’ MM are pink, dog is alert and seems well hydrated Observed Behavior – BAR, panting, allows all exam Objective P = 80 R = wnl BCS 6/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: severe dental disease PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, possibly gassy, no masses palpated U/G: female reported intact MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment: HGE vs other Plan: cbc/chem parvo test–negative IVC if evidence of hge, rads if no evidence hct=63 therfore diagnosis is hge start IVF at 20ml hour ampicillin 230mg tid x 10d panacur x 5 days gave first dose metronidazle 250 mg sid x 7 d gve first dose Prognosis: fair SURGERY: Temporary waiver due to illness
Hx: owner surrender d/t vomiting/diarrhea for approx 1 week; dx with HGE on intake; CBC showed inc hct at 63%, mildly thrombocytopenia and mild basophilia, lymphopenia (may be lab error due to aterisks); chem was overal WNL with mild inc globulins; started on IVF overnight-fluids were not running this morning; no diarrhea reported overnight, ate small amnt of kibble; S/O; QAR; mm pk/pigmented, tacky; CRT 2 sec; nose/eyes clear; ears clean; heart/lungs WNL; abdomen tense and uncomfortable; mild regurgitation; A; HGE-breed predisposition; r/o pancreatitis vs parasites vs addisons (less likely) vs other; P; Continue IVF through the day @ 20 ml/hr; Add cerenia 1 ml IV SID x 3 days; Add sucralfate 1/2 gram BID; feed either i/d or w/d if available; if regurgitation continues, then add reglan 1.5 mg/kg/day; prognosis: good to excellent; schnauzers are a breed that can have difficulty processing fatty foods and dietary indiscretion is one of the most common causes of HGE; after this episode resolves, rec’d feeding low fat, easily digestible diet and avoiding most treats to prevent reoccurrence
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