SHEILA – A1092427
Safe - 10-8-2016 Manhattan
SHEILA – A1092427
***HIT BY CAR – NEEDS MEDICAL FOLLOW-UP***
FEMALE, GRAY / WHITE, PIT BULL MIX, 4 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition UNSPECIFIE Intake Date 10/05/2016, From NY 10453, DueOut Date 10/08/2016,
Medical Behavior Evaluation BLUE
Medical Summary SCAN NEGATIVE BARH PE– INTACT FEMALE MILD TO MOD TARTAR NON WEIGHT BEARING LEFT REAR LEG OLD WOUND WITH SCAB AT FOREHEAD SEEN BY DR. 1027 APPLIED ACTIVYL 4.1 CC PYRANTEL PO GAVE ADMINISTERED 0.8 CC METACAM INJ AS PER DR. 1027 ALLOWS HANDLING BUT NERVOUS & TENSE NOSF
10/05/16 : cannot localize injury–stifle area seems painful LHL but no palpable fx, no swelling. Suspect distal femur or proximal tivial fx. CCL cannot be ruled out.
Large scab on left forehead area and smaller areas of muzzle c/w “road rash”. no need for antibiotics yet. allows all handling; placement with a rescue capable of ortho surgery ideal; good prognosis with treatment; needs rads to fully assess; pain control with rimadyl and buprenorphine
10/06/16 : VET CHECK PET IN MEDICAL WITH INJURIES.
DEPRESSED, ADEQUATE HYDRATION, NOT EATING WELL; MM PINK; SOF ABD; LEFT HINDLIMB NONWEIGHT BEARING LAMENESS, SWELLING OVER CRANIAL THIGH, DOWN TO HOCK, NO FX PALPATED, HOWEVER MEDIAL ASPECT LEFT HOCK FIRM PROTRUSION; NECROTIC SKIN “BANDAGE” OVER LEFT TEMPORAL REGION; VARIOUS SUPERFICIAL ABRASIONS; THIN BCS
TWO VIEW LEFT STIFLE TO HOCK XR: NO FX, MEDIAL LUXATION OF TIBIAL TARSAL JOINT
A HBC, ROAD BURN, LUXATION TIBIAL TARSAL JOINT LEFT, CLOSED.
P; CONT ON CURRENT TX
ADVISED TO HAVE ORTHO CONSULT, MAY HEAL WITH MEICAL MANAGEMENT. ADD ON NOVASAN TO TREATMENT OF FOREHEAD INJURY, NO SYSTEMIC STEROIDS AT THIS TIME. FAIR PROGNOSIS. NEEDS TO EAT BETTER
10/07/16 : S/O: timid, but allowed handing and petting, no aggression. told was eating canned cat food, offered more p ate. slightly depressed mentation. amb x4, with toe touching on L HL. ABN: SNP. UROGEN: no MGTs. SKIN: over L temporal area- dried large scab/necrotic skin, partially peeling off, no d/c or pur beneath. EENT: pink gums, moderate tartar; normal skin tent
A: HBC with L tibial luxation as per prev radiographs taken; L temporal wound
P: CWSC; strongly rec surgical consultation; prognosis: good with treatment; will contact NH
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