BUBBLES – 32900

BUBBLES – 32900

**BLIND**

Care Center Location: Brooklyn  ; ZIP Code From: 11421; Intake Type: Stray

Medical Behavior: -; Age: 12 years; Sex: Male; Weight: – lbs

DVM Intake Exam; Estimated age: 12 years; Microchip noted on Intake? No; History : Stray; Subjective: QARH. No csvd.  Observed Behavior – Allowed all handling; Objective ; P = wnl; R = wnl; BCS 4/9; EENT: Cataracts OU- mild to moderate buphthalmia and scleral injection OS, hypermature with synechie OD, ears clean, no nasal or ocular discharge noted; Oral Exam: severe dental disease, oligodontia; PLN: No enlargements noted; H/L: Grade V/VI heart murmur; Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: intact female, no discharge, small, ~1cm firm mammary mass noted in region of caudal right mammary gland; 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; CBC: Mild anemia, moderate to severely regenerative (Hct 32.2, Retic 208.7), mild leukocytosis (17.49), mild neutrophilia (12.9), mild to moderate monocytosis (1.62), severe thrombocytosis (PLT 860); Chem: Mild elevation in BUN (31), mild to moderate hyperglobulinemia (5.3), mild elevation in ALKP (276); Assessment; 1) Geriactric- suspect underlying disease (possible Cushings due to elevations in ALKP and thrombocytosis) 2) Heart Murmur- suspect underlying cardiac disease over physiologic 3) Cataracts OU with possible glaucoma OS 4) Dental Disease 5) Mammary mass 6) Regenerative Anemia (mild)- top differential would be IMHA (primary v secondary to tick-bourne, neoplasia, recent vaccines or medications) given the leukocytosis vs less likely chronic hemorrhage (GI, renal) vs less likely infectious (babesia, not common in this region); Prognosis: Guarded ; Plan: CTM in Medical- appetite, mentation; Down for three view chest radiographs, UA and to check IOP tomorrow- do saline agglutination test and blood smear; Soft food only; Seek NH placement- needs further workup (LDDS for Cushings, CBC with path review, Coombs test, AUS, echocardiogram) SURGERY:  Permanent waiver due to age, heart murmur

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

Basic Information:Bubble is a black and tan, possible 12 years old small dog. The dog was found alone near a park and school. Finder noticed the dog and decided to bring the dog to ACC.

How is this dog around strangers?  Unknown behavior around dogs. Finder stated that the dog tried to air snap when picking the dog up. He was unable to see and due to his possible blindness she believed the dog become startled. The dog allowed gentle handling.

Behavior Notes:During intake counselor noticed the dog possibly lost his eye sight. Counselor was able to wrap the towel around the dog and allowed to be pet but become startled and growled when attempting to collar.

Details on my behavior are…

Summary (1):  Bubbles was brought in as a stray so his behavior around other dogs is unknown.
7/1: Due to the extreme heat and humidity, we did not bring Bubble outside to playgroup given his age and medical condition.

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