SCRAPPY – A1106933
Safe - 4-18-2017 Brooklyn
SCRAPPY – A1106933
NEUTERED MALE, TAN, STAFFORDSHIRE MIX, 2 yrs, 1 mo
RETURN – AVAILABLE, HOLD FOR ID Reason PERS PROB
Intake condition EXAM REQ Intake Date 04/17/2017, From NY 11235, DueOut Date ,
Medical Behavior Evaluation GREEN
Medical Summary 4-17-17 O returned 2yo Male Neutered MIC present on Intake Subjective: BAR-H Observed Behavior – Friendly playful easy to handle Objective 3/5 BCS EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: NAD H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Soft, No masses U/G: Male Neutered, slight bruising from recent Neuter 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 – Patient appears to be in good health; Plan – Intake Prognosis: Excellent SURGERY: Already Neutered — 04/15/17 One day pst op neuter recheck S/O: BAR. Active, attention seeking, allows all handling EENT: Eyes clear, no ocular or nasal discharge INTEG: Wounds unchanged from exam 4/13, neuter incision C/D/I, minimal scrotal swelling, no bruising A: Healing wounds P: Continue to monitor while at BACC. Excellent prognosis
MALE, TAN, STAFFORDSHIRE MIX, 2 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 03/24/2017, From NY 11433, DueOut Date 03/27/2017,
Medical Behavior Evaluation GREEN
Medical Summary Stray Scan Negative Seeks attention, very friendly Objective QAR H T = WNL P =110 R = 24 BCS 5/9 EENT: OU clear, AU clean, no nasal discharge noted Oral Exam: Mild dental tartar, all permanent teeth are present PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Intact male (penus swollen edematosed out of the prepuce) MSI: Ambulatory x 4, skin free of parasites, no masses noted, large wound and lacaration in the ventral chest, abdomen inner thigh, caudal part of the forearm, large laceration on the bottom of paw the hind leg. CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Not performed Assessment 1.- Large wound r/o 3rd degree burn (in a healing process) 2.- Edema of penus due to a severe inflamation on the prepuce Calm and friendly Treatment/Recommendations 1- Clean wound with chlorexidine solution (done in intake) 2- Apply DDS cream on all wounded areas 3-Administered 1.0ml buprenorphine 0.3mg/ml IM 4- HWT (negative) 5- Vaccines”DAPP RFL; Rabies RHL, Bordetella IN) 6- Michochip placed 7- Clavamox 125 mg Give 1 tab PO BID 14 days 8- Baytril 68 mg Give 1 tab PO SID 10 days 9- Clean wound w/ chlorexidine sol and apply SSD twice a day Prognosis:Good
03/27/17 : Recheck suspected burn wounds on ventrum. S/O: BARH. Active, social, eating/drinking well. EENT: No oculonasal discharge, no sneezing. H/L: Lungs clear, no coughing. MS: Amb x 4, no lameness. INTEG: Multiple superficial skin wounds over ventral thorax, caudal forelimbs, prepuce, scrotum, and medial hind limbs. Wounds on forelegs are dry, small amount of scabbing. Wounds on chest, scrotum, and medial hind limbs have heavy scabbing/eschar formation with areas where this tissue is peeling away. Mod. moisture and discharge in these spots, with erythematous granulation tissue evident. A: Multiple skin wounds secondary to suspected burn injury. Overall stable condition. Peeling of damaged skin/scabs is expected. P: Cleaned all areas with dilute chlorhexidene; a large amount of the peeling material was removed during cleaning. Applied SSD cream to wounds. Continue Rimadyl, Clavamox, and Baytril as planned. Excellent prognosis.
03/28/17 : Recheck suspected burn wounds on ventrum. S/O: BARH. Active, playful and social. Eating/drinking well. Formed feces, normal urination. EENT: No oculonasal discharge. H/L: No coughing. MS: Amb x 4, no lameness. INTEG: Wounds over ventral thorax, abdomen, medial thighs, scrotum/perineum are clean, mild moisture. Minimal scabbing over thoracic wound, with healthy granulation tissue in area. Mod. scabbing over scrotal and perineal wounds, medial thigh wounds. A: Healing wounds. P: Continue current treatments. Excellent prognosis.
Scrappy was brought in as a stray so his past behavior around other dogs is unknown.
3/27: When off leash with other dogs, Scrappy greets the female helper dog with a loose, wiggly body. He offers several muzzle licks and the mostly follows her around the pen exploring.
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