BONGO – 9753

BONGO – 9753

**NEEDS VET CARE ASAP, SAFER: AVERAGE HOME**

Location: Manhattan  Intake Date: 10/14/17  Intake Type: Stray Medical Behavior: Blue Age: 10 years Sex: Male

DVM Intake Exam:  Estimated age: 8-12 years based on dentition and overall condition
Microchip noted on Intake? Scanned neg on intake, MC placed at that time History : Stray, finder had for 2 weeks, had vomiting, bloody stool and intermittent appetite Subjective: Alert, allows all handling. Observed Behavior – Relaxed body, allows handling Objective: BAR-H, MMs pink and moist, BCS 6/9EENT: Immature cataracts OU. Severe lichenification and stenosis AU. No nasal or ocular discharge noted.  Oral Exam: Severe tartar.  PLN: No enlargements noted. H/L: Grade 1-2/6 systolic murmur PMI *RIGHT* base. Resp sinus arrhythmia. Lungs quiet, but pt coughs regularly.  ABD: Distended, possible cranial organomegaly vs. overall severe distension. No specific masses palpated. U/G: Male intact; MSI: Ambulatory x 4, generalized truncal alopecia – long black fur on the dorsal trunk but nowhere else. There is some fine light brown fuzz on the lateral thorax but nowhere else. Many epidermal collarettes. No masses noted. CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Normal externally. Assessment: 1. Alopecia, pyoderma, otitis externa. 2. Dental disease. 3. Abd distension 4. Heart murmur. Prognosis: Fair; Plan: 1. Do CBC/chemistry, UA if possible, abd rads, chest rads 2. Clean ears and give Osurnia, repeat in 1 week 3. Give Simplicef 50 mg PO SID x10 days – extend if improving; SURGERY: Permanent waiver due to age and underlying conditions.

RE EXAM: Vet Notes: 5:11 PM; 3-view chest rads:; Heart appears enlarged. Vertebral heart score 10.7. Lungs are unremarkable. Trachea is very very slightly narrower in the thoracic inlet than in the thorax, but not severely compressed anywhere.; 2-view abd rads: Right kidney – mineralization; Liver has a round mass sticking off into the abdomen; Prostate is visible – enlarged and in abdomen; Bladder is very full; Rectal exam: prostate enlarged, palpable; CBC: Elevated retic count despite normal Hct (183 K/ul), leukocytosis, neutrophilia, monocytosis; Chem: Elevated T. protein, globs and albumin. Alk phos elevated 1.5x normal. Other liver values are normal, BUN/creat are normal. Cholesterol was not tested.
Revised problem list:
1. Alopecia, otitis externa, otitis – R/O Cushing’s, idiopathic, thyroid dz, allergies, paraneoplastic, other
2. Dental disease
3. Abd distension – R/O Cushing’s vs. liver mass vs. prostatic mass vs. other
4. Kidney mineralization
5. Liver mass
6. Prostatic enlargement
7. Heart murmur, heart enlargement – R/O tricuspid valvular disease
8. Coughing – R/O cardiac disease vs. collapsing trachea

Rec placement ASAP with echocardiogram, and ultrasound, LDDST vs. other

BEHAVIOR:

Animal ID: 9753
Animal Name: Bongo
Age: 10 Years
Breed: Small Crossbreed
Gender: Male
Spayed / Neutered: No
Behavior Assessment Date: 10/17/2017
Date of intake: 14-Oct-2017
Spay/Neuter status: No

Date of assessment: 17-Oct-2017

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.

Paw squeeze 1: 1. Dog gently pulls back his/her paw.
Paw squeeze 2: 1. Dog gently pulls back his/her paw.
Flank squeeze 1: Item not conducted
Flank squeeze 2: Item not conducted
Toy: 1. Minimal interest in toy, dog may smell or lick, then turns away.

Summary:Bongo approached the assessor calmly in the assessment room. He allowed all handling and displayed no concerning behaviors.

Date of intake: 17-Oct-2017
Summary: Bongo allowed all handling.

Date of initial: 14-Oct-2017
Summary: Bongo allowed all handling.
BEHAVIOR DETERMINATION:

AVERAGE (suitable for an adopter with an average amount of dog experience)
Behavior Asilomar

H – Healthy

Comments:

Behavior Notes: Bongo allowed being collared, being wrapped in a blanket and picked up. Bongo allowed having his picture taken and all other handling.

Date of assessment: 17-Oct-2017 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. Paw squeeze 1: 1. Dog gently pulls back his/her paw. Paw squeeze 2: 1. Dog gently pulls back his/her paw. Flank squeeze 1: Item not conducted Flank squeeze 2: Item not conducted Toy: 1. Minimal interest in toy, dog may smell or lick, then turns away. Summary: Bongo approached the assessor calmly in the assessment room. He allowed all handling and displayed no concerning behaviors. Date of intake: 17-Oct-2017 Summary: Bongo allowed all handling. Date of initial: 14-Oct-2017 Summary: Bongo allowed all handling. BEHAVIOR DETERMINATION: AVERAGE (suitable for an adopter with an average amount of dog experience) Behavior Asilomar H – Healthy

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