BEBITA – 20201

BEBITA – 20201

**DIABETIC**

9 yr. old spayed white small dog, OS, 9 pounds:

DVM Intake Exam; Estimated age: Reported 9 years old – exam is consistent with this; Microchip noted on Intake? Scanned POSITIVE on intake; Microchip Number (If Applicable): 981020017331684; History : Surrendered. Recent diagnosis of diabetes mellitus; Subjective: Alert, barks in kennel when unattended; Observed Behavior – Allows all handling; Objective; BAR, estimated 5% dehydrated based on tacky MMs and decreased skin turgor, MMs pink and slightly tacky. BCS 3/9, muscle wasting.; EENT: Mature cataracts with visible Y-sutures, mild mucoid discharge OU. Clean ears, no nasal discharge noted; Oral Exam: Moderate tartar and gingivitis, some gingival recession; PLN: No enlargements noted; H/L: Grade 4/6 holosystolic heart murmur, resp sinus arrhythmia. Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: Female, spayed – small nipples and vulva; MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal: Normal externally; Assessment: 1. Diabetes mellitus, dehydration, emaciation; 2. Cataracts; 3. Heart murmur; Prognosis: Fair-poor; Plan: 1. CBC/chemistry

Let’s get to know each other a bit more…

This animal came from:  Bred By Owner

Spay/Neuter Status:  Spayed

Basic Information:  Bebita is a older small mixed breed that was bred at home by the owner. She has had her since a puppy. Bebita was diagnosed with long term diabetes. The owner does not have the finances to take care of bebita. She recently saw a vet earlier in February.

Previously lived with:  one adult, two small dogs.

How is this dog around strangers?  Bebita is friendly and outgoing but when they approach her too fast and try to pet her she shakes and tries to run away. The owner stated you have to go slow with her and she will open up.

How is this dog around children?  She has spent time with a 6 year old child and was relaxed, respectful and played gentle with the child.

How is this dog around other dogs?  She lived with her mother and sister. she was relaxed, respectful, and tolerant with them.
How is this dog around cats?  She has been around a cat briefly and was relaxed with the cat.
Resource guarding:  There are no resource guarding concerns.
Bite history:  There is no bite history with Bebita
Housetrained:  Yes
Energy level/descriptors:  medium
Has this dog ever had any medical issues?  Yes

Medical Notes:  Bebita was diagnosed with diabetes and needs long term care and medication.

For a New Family to Know:
Bebita isn’t bothered with holding, brushing of coat, bathing, and trimming of nails. She is not bothered with unfamiliar approaches. Owner described him as friendly, affectionate, playful, excitable, and sometimes nervous. She doesn’t play with toys. She eats dry food beneful. She eats soft treats. She uses a wee wee pad. She stays close to owner off leash.

My medical notes are…

Diabetic, started on 1.5U humulin N last night; BG after breakfast   S/O  -BAR, friendly and allows all handling, blind  -good appetite, normal stool in cage  -drinking excessive water  -mm pk, tacky; CRT <2 sec  -OU: hypermature cataracts, mild episcleral injection  -eupnic, clear lung sounds, no murmurs/arrhythmias  -soft abdomen, no palpable abnormalitites
A 1. Diabetes mellitus 2. Cataracts P -100 ml SQF SID x 3 days  -CWCT  -rec’d BG curve in 7-10 days

Vet Notes: 6:06 PM:  Reported to be a super eater!

Vet Notes: 5:55 PM;  Urinalysis: USG 1.046, glucose 4+, ketones neg; CBC: Hct 45.3%, WBC 7. Thrombocytosis – plt 957 k/ul!; Chemistry: Glucose >686, BUN 28, creat 0.6, cholesterol 343
ASSESSMENT: 1. Diabetes mellitus 2. Elevated BUN, normal creat – R/O azotemia and muscle wasting vs. high-protein diet; 3. Severely elevated platelets – R/O Cushing’s vs. other…; PLAN: 1. Humulin N 1.5 units BID; 2. Feed diabetic diet – RC Glycoflex; 3. Monitor appetite – consider Cerenia and IVF if not eating

 

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