BREE aka BRENDA – 25366 (ALT ID – 17661)

BREE aka BRENDA – 25366 (ALT ID – 17661)

***RETURNED 04/16/18**NEEDS FOLLOW UP VET CARE**

Intake Date : 4/16/18  Intake Type: Owner surrender (DOH)

Medical Behavior: Blue   Age: 7 years  Sex: Female

Weight: 76 lbs

DVM Intake Exam : History: Transferred back to BACC after overnight monitoring in MACC  (DOH) Exam: CRT: <2s. Gums: pink, moist  S: BAR, normal hydration  Eyes: Grossly appropriate OU. Ears: Unremarkable AU.  Nasal Cavity: No nasal discharge.  PLN: WNL Heart: No murmurs or arrhythmias. Pulses strong and synchronous. Lungs: Eupneic, lungs clear. No crackles or wheezes bilaterally.  Abd: Soft, non-painful. No palpable masses. No organomegaly appreciated.  U/G: Normal external genitalia. No discharge.  Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Right forelimb bandaged with mild amount of staining on outer bandage layer.  BCS = 7/9
Integument: Multiple puncture wounds noted around neck- no discharge noted with mild to moderate erythema and mild swelling. Bandage over right forelimb

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

A volunteer writes: What do you get when you take perfection and dress it up like a little cow? Bree! This lady is an absolute delight to spend time with. She has been perfect on leash on all of our walks, always keeps her cage clean (she seems super housebroken), sits for treats like there’s no tomorrow, and is a STAR at playing fetch. She gets super excited whenever I show her a toy (and might even stray from her perfect manners and demand bark — SO excited) and always drops them in my lap or at my feet so she can chase it again. Not only is she playful and smart, Bree is bursting at the seams with love to give! She stands on her tippy toes and paws at me so she can barrage me with kisses, says “I love you” with her eyes, and likes to challenge the size-limit for lap dogs (and has briefly succeeded!). To boot, she has an endearing habit of sitting in chairs like a little person. She is a ray of sunshine and would love to light up your life…come meet her at Brooklyn ACC!

My medical notes are…

17-Apr-2018 Progress Exam  Vet Notes: History: DOH-V presented on 4/15 with multiple puncture wounds on the neck and a degloving wound of the right carpus. Currently being treated with baytril, clavamox, carprofen and EOD bandage changes. Today was sedated for wound evaluation, debridement and bandage change.  Exam: CRT: <2s. Gums: pink, moist  S: BAR, normal hydration  Eyes: Grossly appropriate OU.  Ears: Unremarkable AU.  Nasal Cavity: No nasal discharge.   PLN: WNL  Heart: No murmurs or arrhythmias. Pulses strong and synchronous.  Lungs: Eupneic, lungs clear. No crackles or wheezes bilaterally.  Abd: Soft, non-painful. No palpable masses. No organomegaly appreciated.  U/G: Normal external genitalia. No discharge.  Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Right forelimb bandaged with moderate amount of staining on outer bandage layer.  BCS = 7/9  Integument: Multiple puncture wounds noted around neck- no discharge noted with mild erythema and minimal swelling. Bandage over right forelimb  Neuro: Appropriate mentation. Full neurologic exam not performed.  Rectal: Not performed. Externally normal  Assessment: 1) Dog bite/attack – multiple puncture wounds to neck and large degloving wound over right carpus  2) Hypovolemic Shock- resolved  Plan:   Sedation: Dexmedetomedine 8mcg/kg IM once, Butorphanol 0.2 mg/kg IM once–achieved adequate sedation  Wound care: Bandage removed- moderate to severe strikethrough over ventral aspect of right carpus.   – A local block around the carpal wound using lidocaine was administered (circular block + splash block)  – Evaluation: The size of the wound remains the same, but there are minimal areas of gray tissue with predominantly healthy looking tissue noted. Minimal debridement with a #10 scalpel blade was performed. The wound was cleaned with chlorhexidine solution and sterile saline. The wound was then flushed thoroughly with sterile saline.  – A padded wet to dry bandage was then reapplied to the right forelimb  – Recovered uneventfully from sedation.  Plan: Bandage change and wound eval on 4/19 (make sure NPO morning of 4/19)  Continue oral carprofen and clavamox- can discontinue baytril once course has finished.

19-Apr-2018  Progress Exam  Vet Notes: recheck for bite wounds sustained 4/16/18.  On treatment : Baytril 136mg tab, 3 tab PO SID Clavamox 375mg tab , 1.5 tab PO BID
Rimadyl 75 mg PO BID  doing well active BARH, eating well, clear AU , OU   no signs of CIRDC, right front bandage CDI, no lameness seen, pet sedated with dexdomitor 0.5mg/ml 0.5ml IM mixed with Butorphanol 10mg/ml 0.5ml IM, heavy sedation achieved.Pet postioned in left lateral recumbency, given flow by O2.  The bandage was dry however has staining from strike through- minimally.  Plantar carpl skin missing from just dital to carpal pad to 2 cm proximal to paw pad. Healthy granulation tissue , no sign of infection. Medal wound edge had skin flao, excellent blood supply as bled when knicked. The limb was cleaned and flushed, haired skin dried. Open wound flushed with sterile saline. The skin flap was sutured togranulation tissue bed after debridement. Wet to dry bandage applied to limb. Pet given antisedan reveral agent 0.5ml Im) . Recovered smoothly. Rec sedated recheck exam in 3 days, continue current PO meds

21-Apr-2018 Progress Exam  Vet Notes: History: DOH-V presented on 4/15 with multiple puncture wounds on the neck and a degloving wound of the right carpus. Currently being treated with baytril, clavamox, carprofen and EOD bandage changes. Today was sedated for wound evaluation, debridement and bandage change. Exam: CRT: <2s. Gums: pink, moist  S: BAR, normal hydration  Eyes: Grossly appropriate OU.  Ears: Unremarkable AU.  Nasal Cavity: No nasal discharge.   PLN: WNL  Heart: No murmurs or arrhythmias. Pulses strong and synchronous.  Lungs: Eupneic, lungs clear. No crackles or wheezes bilaterally.  Abd: Soft, non-painful. No palpable masses. No  organomegaly appreciated.  U/G: Normal external genitalia. No discharge.  Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Right forelimb bandaged with no evidence of strikethrough.  BCS = 7/9  Integument: Multiple puncture wounds noted around neck- no discharge noted with mild erythema and minimal swelling. Bandage over right forelimb  Neuro: Appropriate mentation. Full neurologic exam not performed.  Rectal: Not performed. Externally normal  Assessment: 1) Dog bite/attack – multiple puncture wounds to neck and large degloving wound over right carpus 2) Hypovolemic Shock- resolved  Plan:  Sedation: Dexmedetomedine 8mcg/kg IM once, Butorphanol 0.2 mg/kg IM once–achieved adequate sedation  Wound care: Bandage removed- mild to moderate strikethrough over ventral aspect of right carpus.
– Upon removing the wet to dry (which had adhered to the underlying tissue), a small vessel at the distal aspect of the wound started to actively spurt blood. The vessel was immediately clamped and was ligated using 3-0 PDS – no further bleeding noted after removing hemostats – A local block around the carpal wound using lidocaine was administered (circular block + splash block)  – Evaluation: Healthy granulation tissue noted throughout- no debridement needed. The skin flap that was noted previously is now adhered to the underlying wound. The wound is starting to show evidence of contraction.  – A padded wet to dry bandage was then reapplied to the right forelimb
– Recovered uneventfully from sedation  Plan: Bandage change and wound eval on 4/24 (make sure NPO morning of 4/24)  Continue oral carprofen, clavamox and baytril

24-Apr-2018  Progress Exam Blood Work Interpretation  Vet Notes: Progress exam  History: High ALP and ALT 1/9 and 1/16, returned to shelter after dog fight with severe bleeding wound on right front paw 4/15. BACC for wound care and DOH hold.
4/17, 4/19, 4/21-sedated bandage changes/wound treatments-wound continues to heal cbc/chemistry 4/24- ALT wnl, ALP mildly elevate (281), anemic moderate non-regenerative (hematocrit 28%)  Subjective: BARH. No cvs but is sneezing with nasal and ocular d/c. Bandage is in place with no strike through  Objective:  P=wnl  R=wnl
BCS=7/9  EENT: Eyes have seromucoid d/c ou, mild serous nasal d/c  PLN: wnl  H/L: Eupneic, normal RR/RE, NMA, RR, Lungs clear but sneezing  MSI: Ambulatory x 4, skin free of parasites, no masses noted, overweight, bandage on RFL no strike through, multiple puncture wounds on neck are healing well  CNS: Mentation appropriate – no signs of neurologic abnormalities  Assessment: Anemia- blood loss from wounds v. other  lack of regeneration- not enough time v. other  Bite Wounds (puncture, multiple, around neck right forelimb and larger open wound over right carpus)- concern for infection, skin devitalization. With larger wound being in a highly mobile area (and no skin left to try and close), concern for ability to heal.  CIRDC, Overweight, Hx elevated LEs  Prognosis: Good  Plan:   CTM while at BACC  PCV/TS to confirm anemia 4/24- 28% and 6.4 g/dL  Continue clavamox until 4/29  Okay to start carprofen again until 4/29  Start doxycycline 10mg/kg PO SID x14d until 5/7, recheck day 7  Start gentamycin OU BID x10d until 5/3  Moved to iso  Bandage change in 3 days or sooner if soiled  Rec rechecking LE in 3 months to r/o vaccine reaction vs underlying condition. If still elevated rec AUS  recheck cbc for regeneration in 1 week

26-Apr-2018 Vet Notes: Progress exam.  History: High ALP and ALT 1/9 and 1/16, returned to shelter after dog fight with severe bleeding wound on right front paw 4/15. BACC for wound care and DOH hold.   4/17, 4/19, 4/21-sedated bandage changes/wound treatments-wound continues to heal  cbc/chemistry 4/24- ALT wnl, ALP mildly elevate (281), anemic moderate non-regenerative (hematocrit 28%)  Subjective: BARH. No coughing or sneezing noted. Bandage has been completely torn off at the bottom and the wound exposed.  Objective:  P=wnl  R=wnl  BCS=7/9  Exam: CRT: <2s. Gums: pink, moist  S: BAR, normal hydration  Eyes: Grossly appropriate OU.  Ears: Unremarkable AU.  Nasal Cavity: No nasal discharge.   PLN: WNL  Heart: No murmurs or arrhythmias. Pulses strong and synchronous.  Lungs: Eupneic, lungs clear. No crackles or wheezes bilaterally.  Abd: Soft, non-painful. No palpable masses. No organomegaly appreciated.  U/G: Normal external genitalia. No discharge.  Musculoskeletal: Ambulatory x 4 with no appreciable lameness.   BCS = 7/9  Integument: Multiple puncture wounds noted around neck- no discharge noted with mild erythema and minimal swelling. No bandage over right forelimb (torn off). Right front foot appears mild to moderately swollen and erythemic compared to other front foot. Neuro: Appropriate mentation. Full neurologic exam not performed. Rectal: Not performed. Externally normal Assessment: 1) Dog bite/attack – multiple puncture wounds to neck and large degloving wound over right carpus- improving 2) Hypovolemic Shock- resolved  3) Anemia, non-regenerative- r/o secondary to anemia of chronic disease (inflammation) vs hemorrhage (that has not surmounted a regenerative response) vs less likely neoplasia 4) Elevated LES (mild)- r/o liver disease (vacuolar hepatopathy v less likely  cholangiohepatitis vs less likely neoplasia) vs metabolic (Cushings) vs GI (occult pancreatitis, chronic GI inflammation)  Plan:   Wound care:  – A local block around the carpal wound using lidocaine was administered (circular block + splash block)– did ok with splash block but reacted with ring block. – Evaluation: Healthy granulation tissue noted throughout- no debridement needed. The surrounding skin around the paw pad is mild to moderately swollen and erythemic.  – Placed a telfa over the wound and reapplied bandage Plan: Bandage change and wound eval on 4/28 – given swelling around carpus, would recommend EOD bandage change until swelling shows improvement Continue oral carprofen, clavamox.  CTM while at BACC  Continue clavamox until 4/29–redispense? Okay to start carprofen again until 4/29. Start doxycycline 10mg/kg PO SID x14d until 5/7, recheck day 7  Start gentamycin OU BID x10d until 5/3  Moved to iso  Serial monitoring of LES- consider AUS if values worsen recheck cbc for regeneration in 1 week

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ADOPTED 01/31/18

Intake Date: 1/5/18  Intake Type: Owner Surrender

Medical Behavior: Green  Sex: Spayed  Age: 7 years

Weight: 73.8 lbs

DVM Intake Exam : Estimated age: 7yrs  Microchip noted on Intake? no  Microchip Number (If Applicable):  History: O/S due to moved to apt that does not allow pets.
Subjective: Dog is BARH Observed Behavior – Readily approaches veterinarian and gives hug. Little restraint required for exam. Allows all body parts to be touched without signs of discomfort. Turns to humans for comfort and safety. Evidence of Cruelty seen – no  Evidence of Trauma seen – no  Objective : T = NA  P = 110  R = wnl  BCS 5/9  EENT: Eyes clear, ears clean, no nasal or ocular discharge noted  Oral Exam: Healthy adult dentition; Grade 1/4 dental dz  PLN: No enlargements noted H/L: NSR, NMA, Lungs clear, eupnic ABD: Slightly tense, non-painful, no masses palpated U/G: wnl MSI: Ambulatory x 4, skin free of parasites, no masses noted, severe inguinal erythema  CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal:not performed Assessment: Inguinal erythema – suspect contact irritant from cold, Mild dental dz, Otherwise Apparently Healthy Prognosis: Good  Plan: Apply thin layer of SSD for erythema SID x 3d; recheck in 2 days. Acceptable candidate for adoption or rescue.  SURGERY: Already spayed

A Little Bit About Me…

A volunteer writes: What do you get when you take perfection and dress it up like a little cow? Brenda! This lady is an absolute delight to spend time with. She has been perfect on leash on all of our walks, always keeps her cage clean (she seems super housebroken), sits for treats like there’s no tomorrow, and is a STAR at playing fetch. She gets super excited whenever I show her a toy (and might even stray from her perfect manners and demand bark — SO excited) and always drops them in my lap or at my feet so she can chase it again. Not only is she playful and smart, Brenda is bursting at the seams with love to give! She stands on her tippy toes and paws at me so she can barrage me with kisses, says “I love you” with her eyes, and likes to challenge the size-limit for lap dogs (and has briefly succeeded!). To boot, she has an endearing habit of sitting in chairs like a little person. She is a ray of sunshine and would love to light up your life…come meet her at Brooklyn ACC!

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

This animal came from:  Friend
Spay/Neuter Status  Spayed
Basic Information:  Brenda is a 5 year old white and black large spayed dog who was surrendered by his owner due to the fact he moved and can no longer have pets in the home. The owner stated that he got Brenda from a friend 3 years ago. Since he has had Brenda she has never seen a vet.
Previously lived with:  Owner
How is this dog around strangers?  Owner stated that when around strangers Brenda is friendly and outgoing. When playing with adults she is gentle.
How is this dog around children?  Brenda has not lived in the home with children but when the visit she is relaxed and playful.
How is this dog around other dogs?  Brenda has spent time around other dogs when around them she is relaxed and affectionate. when playing with other dogs she is gentle.
How is this dog around cats?  Brenda has not spent time in the home around cats so it is unknown how she will react.
Resource guarding:  Brenda is friendly if someone was to touch her food treats or toys. She will bark if someone was to approach her house or family member.
Bite history:  Brenda has no bite history.
Housetrained:  Yes
Energy level/descriptors:  Medium
Other Notes:  Owner stated that Brenda isn’t bothered if she is restrained pushed off the couch or disturbed while she sleeps. Brenda will tolerate being bathed and she enjoys being brushed. Brenda has never had her nails trimmed by her owner so it is unknown how he will react.

Has this dog ever had any medical issues?  No
Medical Notes:  No reported medical concerns.

For a New Family to Know
Owner described Brenda as friendly affectionate and mellow. When at home she likes to be in the same room as her owner. Brenda likes squeaky toys and has been kept indoors and outdoors. She eats both wet and dry food. When using the bathroom she will go on the grass or cement. When left alone in the house or yard Brenda is well behaved. Brenda has never been crated so it is unknown how she will react. Brenda knows how to sit come and stay. She is used to brisk walks on the leash and playing in the yard. When on the leash she pulls lightly. When off the leash she might run away.

Behavior Notes:

During intake Brenda had a loose body and was wagging her tail. She allowed the counselor to collar her and take her picture with no problems.

Details on my behavior are…

Date of assessment:  10-Jan-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.
Paw squeeze 1:  1. Dog gently pulls back his/her paw.
Paw squeeze 2:  1. Dog gently pulls back his/her paw.
Toy:  1. No interest.

Summary:  Brenda came into the room loose and wiggly, she was friendly and playful towards the handlers.

Summary (1):  Brenda has spent time around other dogs, she is relaxed, affectionate and gentle.
1/8: When off leash at the Care Center, Brenda greets a novel male dog with a slightly tense posture. Her hackles remain raised throughout the session. Brenda tolerates his genital sniffs but raises her lip and growls when he licks her muzzle.

Date of intake:  5-Jan-2018

Summary:  Loose, wagging tail

Date of initial:  5-Jan-2018

Summary:  Allows all handling

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

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You may know me from such films as…

JANUARY 2018

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