WILBERT – 17957
Safe - 1-10-2018 Brooklyn
WILBERT – 17957
**NEEDS AN EMERGENCY PLACEMENT / VET ASAP**
3 yr. neutered, OS, 11 pounds:
DVM Intake Exam; Estimated age: ~3-5yrs; Microchip noted on Intake? Yes 981020015299231; History : Owner surrender; Subjective: QARH. Ate well but immediately regurgitated food ; Observed Behavior – Attention seeking, allows all handling; Objective ; P = WNL R = WNL BCS 2-3/9; EENT: Eyes clear, ears clean, no nasal discharge noted; Oral Exam: Significant tartar buildup, mild gingivitis, halitosis; PLN: No enlargements noted; H/L: No murmurs/arrhythmias, muffled hear sounds on left side, CRT < 2, harsh lung sounds, eupnic; ABD: Tender, tense; U/G: Neutered; MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; CNS: mentation appropriate – no signs of neurologic abnormalities; Assessment: Vomiting, abdominal pain and weight loss – R/O intestinal obstruction vs other; Muffled heart sounds, harsh lung sounds – R/O diaphragmatic hernia vs heart disease vs respiratory disease; Radiographs show signs of perihilar effusion – R/O heart disease/CHF ; No obvious signs of obstruction on abdominal radiographs; Plan: Radiographs and blood work pending. Repeat rads tomorrow. Continue to monitor while at BACC. Lasix 0.5ml IM given
Prognosis: Fair/open pending diagnostics
Let’s get to know each other a bit more…
Basic Information:Wilbert is a three year old neutered small dog mix. He was surrendered by his owner due to his declining health and owner no longer being able to manage emotionally and financially.
Previously lived with:4 adults
How is this dog around strangers?Wilbert is described as friendly and outgoing with strangers. Wilbert will sniff and wag his tail when visitors come to the home.
How is this dog around children?Wilbert has spent time time with children of all ages. Owner stated he was friendly and gentle with the kids.
How is this dog around other dogs?Owner stated Wilbert will hard bark and lunge at other dogs while on leash. Wilbert has not spent time with other dogs off leash.
How is this dog around cats?n/a
Housetrained:YesEnergy level/descriptors:medium to high
Has this dog ever had any medical issues?YesMedical NotesOwner reports Wilbert has a decreased appetite for about ten days and was vomiting any food he would consume.
For a New Family to KnowWilbert is described as an affectionate and obedient dog. Wilbert loves to play with squeaky and chew toys. Wilbert lived in a home with a yard and is used to yard play two to three times a day. Owner stated he would do his business and return to the home quickly. Wilbert eats wet and dry food Bil and Jac brand. Wilbert knows the commands sit, come and stay.
Behavior Notes:Upon intake Wilbert was scanned (positive), collared and photographed. Due to health during intake limited handling was done.
My medical notes are…
Wilbert’s owner reported GI signs for the last 10 days.
Per our vets, Diagnostics and physical exam in the shelter are showing congestive heart failure – we can’t definitely rule out GI disease at this time but it’s likely that the inappetance and vomiting is a result of the heart disease.
Perihilar/caudodorsal focal alveolar pattern with subtle air bronchograms through center, pulmonary effusion, interstitial edema; heart may be slightly enlarged; Large amount of food in distended stomach, gas distension in large intestines, normal spleen, decreased serosal detail – difficulty visualizing other organs, small intestines; A: Unable to R/O GI foreign body/obstruction; Signs of CHF
Monitor condition – signs of heart failure on radiographs; owner reported GI signs for last 10 days (inappetance, vomiting) S/O: QARH. Allows all handling. Few small piles of urine in cage. No feces seen, no vomit noted. Holding off of food until radiographs; EENT: Large amount of grey dental tartar along gum line, pink mm, CRT>2sec, eyes clear, no ocular discharge, mild to moderate serous nasal discharge, ears WNL; HL: Harsh lung sounds bilaterally, no murmurs/arrhythmias appreciated; ABD: Somewhat firm and tender in mid-abdomen, no masses palpated
INTEG: WNL; MS: Ambulatory x 4; UG: Neutered; A: -R/O CHF; -GI signs – R/O primary GI disease (FB, obstruction other) vs sequelae of heart disease -Dental disease; P: Continue furosemide 0.5ml IM (Given by 0844). Repeat rads scheduled for today. Recommend 6p deadline for placement. Rec full cardiology work up, +/- abdominal ultrasound. Fair prognosis with appropriate treatment and monitoring
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