BLANCA – 30687

BLANCA – 30687

Intake Date : 6/9/18  Intake Type: Stray

Medical Behavior: Blue  Age: 1 year  Sex: Female

Weight: 41 lbs

DVM Intake Exam : Estimated age: 1-2 years  Microchip noted on Intake? No  Microchip Number (If Applicable):   History : Stray- noted to be weak in the hind end
Subjective: QAR to BARH. No csvd.   Observed Behavior – A little timid/nervous, but able to do full exam without issue  Evidence of Cruelty seen – no  Evidence of Trauma seen – possible- weak/wobbly in the hind end  Objective : T = 100.5F  P = 140bpm  R = 28bpm  BCS 4/9  EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Mild tartar  PLN: No enlargements noted  H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic  ABD: Non painful, no masses palpated  U/G: intact female, no discharge  MSI: Ambulatory x 4 with mild to moderate hindlimb ataxia; No pain elicited on joint manipulation; no overt thoracolumbar pain elicited; skin free of parasites, no masses noted, two moderately deep lacerations to the face with the the distal laceration expressing purulent discharge (mild) and small amount of necrotic tissue within wound bed; small superficial wound on caudal aspect of right thigh  CNS: Mentation appropriate ; Mild to moderate hindlimb ataxia- CP’s mildly delayed in both hindlimbs (though difficult to know if this is a true deficit as patient was leaning to the side)  Rectal: no masses, no stool  Two view pelvic radiographs: No overt orthopedic abnormalities identified  CBC: Mild neutrophilia (18.3) with mild neutrophilia (13.8)  Chem: Mild hypokalemia (3.4), ALT 412- potassium is slightly low, but not low enough to typically cause weakness  Cleaned facial wounds with chlorhexidine solution and sterile saline  Assessment : 1) Laceration/Abscess (face)  2) Hindlimb ataxia- r/o trauma (soft tissue injury, neuropathy, no overt orthopedic injuries noted) vs primary neurologic disease (IVDD v FCE v less likely neoplasia v less likely infectious/inflammatory meningitis) vs toxin vs less likely degenerative myelopathy  3) Elevation in ALT – r/o trauma vs primary hepatic disease (cholangiohepatitis, neoplasia, toxin, vacuolar hepatopathy)  Prognosis: fair  Plan:  Start Caprofen 4.4mg/kg PO SID x 5 days  Start Clavamox 13.75mg/kg PO BID x 7 days  CTM in Medical- monitor gait status, mentation, appetite, progress of wounds (as wounds infected, would not close at this time)  SURGERY: Temporary waiver due to ataxia

A Little Bit About Me…

A Staff member writes : Blanca has become one of the play group faves has been interacting well with other dogs jumping around even though she has had some problems with her back legs. This flirtatious sweetheart has warmed up quickly to other dogs and people.

My medical notes are…

10-Jun-2018 Progress Exam : History : Stray- noted to be weak in the hind end and old wounds to face. Two view pelvic radiographs: No overt orthopedic abnormalities identified CBC: Mild leukocytosis (18.3) with mild neutrophilia (13.8)  Chem: Mild hypokalemia (3.4), ALT 412- potassium is slightly low, but not low enough to typically cause weakness  Cleaned facial wounds with chlorhexidine solution and sterile saline  Subjective: BARH. No csvd. Eating well. Very friendly, performed exam without issue  Objective : P = wnl  R = wnl  BCS 4/9  EENT: Eyes clear, ears clean, no nasal or ocular discharge noted  Oral Exam: Mild tartar  PLN: No enlargements noted  H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic  ABD: Non painful, no masses palpated  U/G: intact female, no discharge  MSI: Ambulatory x 4 with mild to moderate hindlimb ataxia, occasionally crosses hind limbs while walking; skin free of parasites, no masses noted, scabs forming over both facial wounds with no d/c noted; small superficial wound on caudal aspect of right thigh  CNS: Mentation appropriate ; Mild to moderate hindlimb ataxia- CP present in LHL but deficit in RHL.  Rectal: normal externally  Assessment : 1) Laceration/Abscess (face)- healing  2) Hindlimb ataxia- r/o trauma (soft tissue injury, neuropathy, no overt orthopedic injuries noted) vs primary neurologic disease (IVDD v FCE v less likely neoplasia v less likely infectious/inflammatory meningitis) vs toxin vs less likely degenerative myelopathy  3) Elevation in ALT – r/o trauma vs primary hepatic disease (cholangiohepatitis, neoplasia, toxin, vacuolar hepatopathy)  Prognosis: fair  Plan:  Continue Caprofen 4.4mg/kg PO SID x 5 days
Continue Clavamox 13.75mg/kg PO BID x 7 days  CTM in Medical- monitor gait status, mentation, appetite, progress of wounds (as wounds infected, would not close at this time)

13-Jun-2018  Progress Exam : S: recheck wounds, gait  BAR, playful  scabs on muzzle appear to be healing no signs of infection.  very odd gait: hind end twists side to side as she walks. No pain on palp, CP wnl, good muscle tone.  placing weight x 4  O:  EENT:wnl  Oral Exam:wnl  H/L:wnl  Abd: MSI:see above Mentation:wnl  A: rule out hip abnormalitiesm, healing facial wounds  P:  sign up for hip radiographs, did not continue carprofen, correction: hip rads done 6/9: wnl, neuro cause for gait abnormality more likely, monitor for pain/discomfort

Details on my behavior are…

Date of assessment: 12-Jun-2018

Look: 1. Dog’s eyes are averted, ears are back, tail is down, relaxed body posture. Dog allows head to be held loosely in Assessor’s cupped hands.

Sensitivity: 1. Dog stands still and accepts the touch, eyes are averted, and tail is in neutral position with a relaxed body posture. Dog’s mouth is likely closed for at least a portion of the assessment item.

Tag: 1. Dog follows at the end of the leash, body soft.

Flank squeeze 1: 1. Dog does not respond at all.

Flank squeeze 2: 1. Dog does not respond at all.

Toy: 1. No interest.

Summary: Blanca came into the assessment room loose and wiggly, she was friendly and social towards the handlers. “Flank squeeze” was conducted instead of “paw squeeze” due to her current medical state.

PLAY GROUP :

Blanca was brought in as a stray so her behavior around other dogs is unknown. Here at the Care Centers, Blanca is social with both male and female dogs. She matches the energy of the dogs she is paired with, and tolerates sexually motivated males. The Behavior Department recommends that Blanca be placed in a home with resident dogs that match her play style.

6/12: When off leash at the Care Center, Blanca greets a novel male dog with a slightly tense, lowered posture. She loosens up as the session continues becoming more social and soft with him, soliciting attention with a bounce or two and a few barks.

6/13: Blanca is social and soft in a group of calm male and female dogs. She engages in flirtatious behavior with a novel male dogs- offering her rear.

6/14: Blanca was utilized as a greeter today. She tolerated a sexually motivated male, and explored the yard. When paired with a player, she engaged in rowdy, high energy play with body slams and bounces. She persisted with her solicitation, even when the novel male dog attempts to move away.

Date of intake: 9-Jun-2018

Summary: Timid though readily warmed up and allowed all handling

Date of initial: 9-Jun-2018

Summary: Timid though allowed all handling

ENERGY LEVEL: Blanca displays a high activity level in the care center.

BEHAVIOR DETERMINATION: AVERAGE (suitable for an adopter with an average amount of dog experience)

You may know me from such films as…

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