PRINCESSA – A1108015
Safe - 4-8-2017 Brooklyn
PRINCESSA – A1108015
FEMALE, TAN, CHIHUAHUA SH MIX, 6 yrs
OWNER SUR – AVAILABLE, NO HOLD Reason PET HEALTH
Intake condition EXAM REQ Intake Date 04/05/2017, From NY 11226, DueOut Date 04/05/2017,
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Findings History ~6yrs, female. Owner surrender due to ear infection. Scan neg Subjective Observed Behavior – QARH. Nervous, allowed all handling Objective P = wnl R = wnl BCS 4/9 EENT: Eyes clear, no nasal discharge noted, heavy purulent discharge deep in ear canals with mild otitis externa AU, alopecia around ears Oral Exam: mild dental tartar, pink mm PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Female MSI: Ambulatory x 4, Grade 2/4 bilateral MPL, overgrown nails, high steps on all four limbs, skin free of parasites, no masses noted, thin brittle hair coat with moderate digit dermatitis CNS: mentation appropriate – LVT reported circling, not observed during exam Assessment: Otitis media, bilateral MPL, dermatitis/alopecia – rule out allergies Plan: Cleaned ears and applied otibiotic. Rec baytirl 34mg PO q24 x 10 days, rimadyl 12.5mg po q24 x 5 days, ear cleaning q24 x 10 days, otimax q24 x 10 days. Continue to monitor while at BACC Rec full dermatology work up/food trial to find underlying cause of infections. Temporarily waived from spay due to significant ear infection Good prognosis
RE EXAM: 04/06/17 ACS alerted medical that dog was trembling and falling over; S/O: QAR. ~5-8% dehydrated. Eating with excellent appetite; HL: Normal thoracic auscultation, HR 120bpm, normal RR/RE; ABD: Soft, comfortable on palpation; NEURO: Mild left sided head tilt, trembling, weakness, ataxia; A: R/O middle ear disease, seizure disorder, vs adverse effect of enrofloxacin or otomax; P: D/C baytril and otomax, gave LRS 100ml SQ. Start clavamox 62.5mg PO q12 x 10 days. CBC/Chem pending, consider IVC placement today; Continue to monitor in medical
Princessa is a 6 year old Female, Tan Chihuahua mix; she came to the previous owner’s home as a gift. Princessa was surrendered because of her health issues, she has an ear infection. Princessa has no other known health issues or injures, and has recent vet histoy.
When Princessa is approached by a stranger she is aloof and keeps to herself. She has never lived with children. Around other dogs Princessa will attempt seek the other dog to engage in play. Princessa has no bite history.
Princessa will hide and become nervous during storms/fireworks. If an individual tries to put their hand in or touch Princessa’s food bowl she will growl . During bathing and brushing Princessa is slightly tense and will try to run out of the tub. When an unfamiliar person or family member comes to the house Princessa will bark at first but after few minutes She tries to play.
For a new family:
Princessa was described as playful, affectionate, and excitable with a very high activity level by his previous family. She enjoys playing with balls, bully sticks, and cat dancers. , Princessa loves to cuddle with his owners and watch TV. She is feed dry food 2-3 times a day. She house trained and goes outside to use the bathroom twice a day in grass or cement. Princessa has never crate trained. Princessa has never been off leash.
When the counselor approached Princessa, she was timid but she allowed the counselor to collar and take photo.
The owner is surrendering Princessa because she has an ear infection that she sought medical attention for but it spread and she no longer can care for her dog. She was offered medical help but declined.
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