ASPEN – 10149

ASPEN – 10149

Immediate LOCAL Placement Needed For This Senior Of A Small Breed ** FOLLOW UP VET CARE NEEDED **

Stray, 10 Years Old, Tan/White Small Breed Mix 4 lbs.

Medical:: 10/19/17 Vet Notes: 11:59 AM; Estimated age: 10 yo; Microchip noted on Intake? Yes; History : Found as stray ; Subjective: QAR/ slightly dull. ; Mild dehydration – 5%. Thin and slightly weak. Severe wound RFL.Observed Behavior – Easily handleable. Evidence of Trauma seen – Marked degloving wound RFL – with marked swelling. Objective T = 100.5 P = 150 R = 20; BCS= 3/9; EENT: Eyes – marked nuclear sclerosis but PLR +, cornea/ sclera/ conj clr, mod dry mucoid d/c around eyes. Ears clean. No nasal discharge noted.; Oral Exam: Moderate tartar with some tooth loss. ; PLN: No enlargements noted; H/L: NSA, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: Female. Green tattoo seen. No MGT’s.; MSI: Amb x 3 – toe touches RFL but does not support full weight. RFL – marked swelling distal third with degloving injury dorsal carpus revealing underlying tendons. Several areas devitalized tissue on leg from elbow down. Skin free of parasites, no masses noted, healthy hair coat aside from RFL. Very thin – BCS = 3/9.; CNS: Mentation mildly dull but no signs of neurologic abnormalities; Rectal: not done.; Assessment:; Severe degloving injury and swollen RFL.; Geriatric female.; Very thin – r/ol underlying geriatric dz. Prognosis: Guarded to poor for keeping leg. Amputation may be needed. First try bandaging but will need long tern care. General prognosis – pending further diagnostics.; Plan:; Hydromorphone 0.08 cc IM. ; Pen G 0.25 cc SQ.; Baytril 0.2 cc (4.5 mg) IM; SQF 75 cc. BW = CBC/ Chem/ lytes; Xray RFL – no overt fx noted lateral and AP RFL.(Consider re-check xray when sedated.) Lateral WB -chest/ abd – NSF. Clavamox 0.5 cc po BID x 10 days.; Baytril 22.7 mg 1/2 tab po SID x10 days.; Cleaned RFL with dilute chlorhex. Placed dry bandage to cover. Consider wet-dry bandages in future. ; E-collar.; Contact rescue.

 

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