NINO – 20264
Urgent - Manhattan
SUPER URGENT 02/14/18
Hello, my name is Nino. My animal id is #20264. I am a male brown dog at the Manhattan Animal Care Center. The shelter thinks I am about 10 years old.
I came into the shelter as a stray on 09-Feb-2018.
Nino is at risk due to medical condition. He is a geriatric dog that has presented with several masses that will need further diagnostics as well as urinary issues that will also benefit from further investigation, or potential prescription diet. We recommend that Nino go to an experienced dog owner that is prepared to manage his care.
My medical notes are…
Weight: 15.6 lbs
[DVM Intake] DVM Intake Exam Estimated age:10y Microchip noted on Intake?n Microchip Number (If Applicable): History :stray Subjective:dribbling urine throughout exam Observed Behavior -calm Evidence of Cruelty seen -neglect Evidence of Trauma seen -n Objective T = P =80 R =wnl BCS 7/9 EENT: ou sclerosis, stenotic ears, heavy brown d/c, no nasal or ocular discharge noted Oral Exam:severe dental disease. At least two large growths in the gum (epulitides) PLN: SMLN enlarged H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact, dribbling urine MSI: Ambulatory x 4, skin free of parasites, severe matting, skin very irritated esp face. blisters noted CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: urinary incontinence, matting, severe otitis, severe dental disease. dermatitis. multiple gum growths Prognosis:guarded. individual issues mat be treatable. rule out bladder stones etc. will need surgery for gum growths Plan: abdominal rads will need shave down. cleaned ears and applied gentizol—multiple cleanings will be required SURGERY: Permanent waiver due to age
rads: bladder stone seen. UTI inferred (urine dipstick had some blood protein anf high ph) recc ch placement
[Spay/Neuter Waiver – Age] It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.
S/O: QAR, ate some wet food the night previous. Urinary incontinence during abdominal palpation. t= 99.7 hr= 120 rr- WNL Oral cavity; Exophytic lesions Ddx: Fibrous Gingival Hyperplasia, Epulides, Fibrosarcoma Plan: Urine microscopic examination, urinalysis If placed recommend: – biopsy oral exophtic lesions – medical/surgical treatment of urinary stone(s) – place on a urinary care soft veterinary rx food
Microscopic urine examination – no bacteria present – alot of urinary debris – +1 Suspected Struvite crystals Assessment: Suspect Struvite Crystalluria Recommendations for placement: Continue on current tx plan and make an appointment with a veterinarian to discuss options for urinary stones. If confirmed as a struvite your veterinarian may recommend: 1) feeding a prescription diet to dissolve the stone(s), such as Hills C/D, for one month and re-check with an xray. If the urinary stone has not dissolved then 2) non-surgical removal by urohydropropulsion or 3) surgical removal.
Two view abdominal rads taken and reviewed by DVM’s Dwyer and Deegan. Shave (groom) rescheduled for 02/10/2018.
UA BLD/HGB 1+ BIL Neg UBG Normal KET Neg GLU Neg Pro 3+ LEU 2+ pH 7
Shaved entire body, legs and ears with 10 blade then cleaned ears with TrizUltraKeto saved hair for cruelty evaluation
Upon intake Nino allowed all handling. He allowed being collared and allowed being placed in a kennel. Due to his condition no further handling was performed.
Date of Intake: 2/9/2018
Spay/Neuter Status: Unknown
Basic Information:: Nino is a roughly 10 year old small dog whom was found under a tree and brought into the care center as a stray.
Previously lived with:: unknown
How is this dog around strangers?: Nino came into the care center as a stray so this information is currently unknown.
How is this dog around children?: Nino came into the care center as a stray so this information is currently unknown.
How is this dog around other dogs?: Nino came into the care center as a stray so this information is currently unknown.
How is this dog around cats?: Nino came into the care center as a stray so this information is currently unknown.
Resource guarding:: Nino came into the care center as a stray so this information is currently unknown.
Bite history:: Nino came into the care center as a stray so this information is currently unknown.
Energy level/descriptors:: unknown
Other Notes:: Nino came into the care center as a stray so this information is currently unknown.
Medical Notes: Nino came into the care center as a stray so this information is currently unknown.
For a New Family to Know: Nino came into the care center as a stray so this information is currently unknown.
Date of intake:: 2/9/2018
Spay/Neuter status:: No
Means of surrender (length of time in previous home):: Stray
Date of assessment:: 2/11/2018
Look:: 1. Dog’s eyes are averted, ears are back, tail is down, relaxed body posture. Dog allows head to be held loosely in Assessor’s cupped hands.
Sensitivity:: 2. Dog stands still and accepts the touch, eyes are averted, tail is between legs, body stiff, mouth closed, lip long, ears likely back, may lip lick.
Tag:: 1. Dog follows at the end of the leash, body low and a bit fearful.
Paw squeeze 1:: 1. Dog gently pulls back his/her paw.
Paw squeeze 2:: 1. Dog gently pulls back his/her paw.
Flank squeeze 1:: Item not conducted
Flank squeeze 2:: Item not conducted
Toy:: 1. No interest.
Summary:: Nino approached the assessor in the assessment room a bit cautiously. He was tense at times during the assessment and moved away from the assessor but allowed all handling.
Summary (1):: 2/12: When introduced off leash to dogs, Nino greets politely.
Date of intake:: 2/9/2018
Summary:: Nino allowed all handling.
Date of initial:: 2/9/2018
Summary:: Nino was calm.
ENERGY LEVEL:: We have no history on Nino so we cannot be certain of his behavior in a home environment. In the care center, he displays a medium-low level of activity.
BEHAVIOR DETERMINATION:: EXPERIENCE (suitable for an adopter with some previous dog experience, especially with the behaviors outlined below)
Behavior Asilomar: TM – Treatable-Manageable
Potential challenges: : Fearful
Potential challenges comments:: Fearful: Nino is a bit fearful at the care center. It is important to always go slow and give Nino the option to walk away from any social interaction. Nino should never be forced to approach anything that he is uncomfortable with or to submit to petting or handling. It should always be Nino’s choice to approach a new person or thing. Nino would do best in an initially calm and quiet home environment and should be given time to acclimate to his new surroundings.
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