PINKIE – A1074172
Safe - 2-8-2017 Manhattan
PINKIE – A1074172
**RETURNED 02/05/17**DIAGNOSED WITH BLADDER STONES**NEW HOPE RESCUE ONLY**
SPAYED FEMALE, TRICOLOR, CHIHUAHUA SH / PARSON RUSS TER, 6 yrs
STRAY – ONHOLDHERE, HOLD FOR ID Reason STRAY
Intake condition EXAM REQ Intake Date 02/05/2017, From NY 11364, DueOut Date 02/13/2017,
Medical Behavior Evaluation BLUE
Medical Summary BARH Scan positive # 981020017240290 Spayed Age aprox 4 yrs Moderate tartar Blood in urine Diarrhea Clean EEN Clean coat Parvo test- negative HT negative on 5/22 tense, nervous NOSF
2/7/17 : Hx: Hx of hematuria, diarrhea, some vomiting. Diagnosed with bladder stones on rads yesterday. No vomiting noted overnight. Soft stool this morning, some hematuria with straining.
S: Nervous, growled when in cage. Allows handling but requires some restraint. O: BAR-H, BCS 6/9, MMs pink and moist, CRT <2 sec. EENT: Erythematous ear canals but no discharge OU, AU, nose. Mild tartar and gingivitis. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation. Large hard mass in ventral caudal abdomen (where bladder lives) with granular material surrounding it. M/S/I: Amb x4. No skin lesions noted. UG: Female
Review of rads done 2/6/17: Multiple large bladder stones noted. Some small intestinal loops are gas-filled, but none are distended. CBC done this morning: all WNL. Likely mild dehydration but no sign of severe infection – normal WBC count and diff. A: Bladder stones diagnosed on rads, likely secondary ileus, no sign of sepsis. Short-term prognosis: Fair-good
P: Add buprenorphine 0.25 ml SQ BID. Recommend surgical removal of bladder stones ASAP. Ideally, a urine culture would be obtained at the time of surgery and antibiotics would be started afterwards. If surgery may not happen for a few days, may need to start empirical therapy first.
2/8/17 : Pink moist MMs this morning, CRT < 2 sec. Pudding-like brown stool this morning. Also quite a bit of stranguria and hematuria (orange to red). Chemistry done this morning: mild azotemia (BUN 32), low alk phos (22), no other abnormalities noted. Continue with pain meds, extend daily fluids (LRS 200 ml SID x5 days). Seek placement with cystotomy and UA/culture ASAP.
Behavior while with finder: Pinkie allowed finder to pick her up and carry her with no signs of aggression.
Intake Behavior: Pinkie did not allow staff to touch her and began to growl and run away when staff came near.
KNOWN HISTORY: None
Summary: Due her current medical condition, Pinkie is not an appropriate candidate for a SAFER assessment at this time. The behavior department believes Pinkie would benefit best from placement with a New Hope Rescue who can meet her needs medically and then assess behavior once she is in a stable environment. Force-free, reward based training is advised when introducing/exposing Pinkie to new and unfamiliar situations. Pinkie appears to be a bit fearful at the care center, but she has allowed all handling in shelter without any issue.
DOG-DOG INTERACTION ASSESSMENT:
During her initial medical exam, Pinkie was tense.
RECOMMENDATIONS: New Hope Only
_X_Place with a New Hope partner: Due to her current medical condition, Pinkie should be placed with a New Hope partner who is able to first meet her medical needs and then assess her behavior in an experienced foster home.
_X_Fearful (Pinkie is a bit fearful at the care center. It is important to always go slow and give Pinkie the option to walk away from any social interaction. Pinkie should never be forced to approach anything that she is uncomfortable with or to submit to petting or handling. It should always be Pinkie’s choice to approach a new person or thing. Pinkie would do best in an initially calm and quiet home environment and should be given time to acclimate to her new surroundings.)
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View all entries in: Safe Dogs 2017-02