CARA – A1114001
Safe - 6-6-2017 Manhattan Rescue: Looking Glass Animal Rescue Please honor your pledges:
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SAFE 06/06/17
Manhattan Center
My name is CARA. My Animal ID # is A1114001.
I am a female black and gray poodle min mix. The shelter thinks I am about 12 YEARS old.
I came in the shelter as a STRAY on 06/02/2017 from NY 10456, owner surrender reason stated was STRAY.
06/05/2017 AT RISK MEMO
A1114001 Cara is At Risk for medical reasons (please see exam below)
MOST RECENT MEDICAL INFORMATION AND WEIGHT
06/04/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 10.4 LBS.
S/O CBC-mild nonregenerative anemia Chem-only partially complete, no concerns with values reported QAR, mouthy, tried to bite during oral exam mm pk/pigmented-limited exam due to temperament OU-pupils mid sized, clouding of the lens; decreased-absent menace (difficult to evaluate), palpebral pos nose clear ears clean heart/lungs WNL soft, nonpainful abdomen pea sized, firm SQ lump associated with caudal L mammary glands severe circling to R normal CP/reflexes x 4 A circling to R-suspect intracranial dz, concern for neoplasia MGT-r/o other soft tissue mass mild anemia-r/o paraneoplastic vs other P Rec’d CXR Rec’d excisional biopsy of MGT Rec’d MRI prognosis: poor; concern for intracranial neoplasia (r/o primary vs metastatic)
06/02/2017 PET PROFILE MEMO
06/02/17 17:53 Cara A1114001 is a 12yr old female black/gray/white Mini Poodle mix who was found on a street in the Bronx a little while ago. The finder felt bad for her and brought her in to surrender. They stated they believe Cara is injured and she allowed them to pick her up. During intake Cara allowed all handling. It was noticed that she spins constantly and didn’t seem to mind being picked up/held. Cara was placed into a kennel with ease where she began eating her canned food slowly.
WEB MEMO
No Web Memo
06/05/2017 BEHAVIOR EVALUATION – NH ONLY
Exam Type BEHAVIOR
KNOWN HISTORY: None 6/2/17 Unaltered Female, Stray SAFER ASSESSMENT: 6/5/17 Summary: Due her current medical condition, Cara is not an appropriate candidate for a SAFER assessment at this time. The behavior department believes Cara would benefit best from placement with a New Hope Rescue who can meet her needs medically and then assess behavior once she is in a stable environment. Force-free, reward based training is advised when introducing/exposing Cara to new and unfamiliar situations. Cara appears to be calm, she has allowed all handling in shelter without any issue and attempts to seek handler attention. DOG-DOG INTERACTION ASSESSMENT: Summary PLAYGROUP: Summary INTAKE BEHAVIOR: 6/2/17 Upon intake, Cara allowed handling. MEDICAL BEHAVIOR: 6/2/17 During her medical exam, Cara allowed most handling. ENERGY LEVEL: We have no history on Cara so we cannot be certain of her behavior in a home environment. In the care center, she displays a low level of activity. RECOMMENDATIONS: New Hope Only _X_Place with a New Hope partner: Due her current medical condition. The behavior department believes Cara would benefit best from placement with a New Hope Rescue who can meet her needs medically and then assess behavior once she is in a stable environment. Force-free, reward based training is advised when introducing/exposing Cara to new and unfamiliar situations.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
06/02/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: 10-15 years based on overall condition Microchip noted on Intake? Scanned neg – MC #981020019747956 placed during exam History : Found wandering in the street, seemed to be lame on LFL Subjective: Allows most handling but gets a bit impatient and struggles with oral exam and vaccines Objective BCS 2/9, MMs pink EENT: Eyes clear, ears clean, mild serous nasal discharge. Large round firm mat ventral to right ear. Oral Exam: Moderate tartar and gingival recession. PLN: No enlargements noted H/L: NSR, NMA, Lungs clear, eupnic ABD: Tucked up, no masses palpated U/G: Female, well-developed vulva. Small mammary glands. One firm round mass associated with a caudal mammary gland on the right side. MSI: Significant flea dirt and dirt in coat, generally smells dirty. Underweight and muscle wasting x4 legs – does not appear to be holding up any legs at rest or limping at a walk but this is difficult to assess because pt is circling to the right and yanks her legs away when they are touched. CNS: Persistently circling to the right. No nystagmus or strabismus. Appears to be alert and aware of surroundings. Normal proprioception – normal response to hopping; could not test paw flipping because pt immediately lifts the paw as soon as it is touched. Able to eat when food put in front of her, but seemed to be biting THROUGH the plate as if she couldn’t quite gauge how far away it was. Assessment 1. Emaciated 2. Circling to the right – R/O central vs. peripheral lesion, possibly neoplasia vs. trauma vs. brain bleeding/clotting vs. infectious (GME, NME) vs. other cause 3. Dental disease 4. Small mammary mass Plan 1. CBC/chemistry 2. LRS 100 ml SQ SID x4 days 3. Re-evaluate tomorrow – consider placement for MRI vs. EHR Prognosis: Unknown until disease process is identified SURGERY: Permanent waiver due to age. 1088
06/04/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
S/O CBC-mild nonregenerative anemia Chem-only partially complete, no concerns with values reported QAR, mouthy, tried to bite during oral exam mm pk/pigmented-limited exam due to temperament OU-pupils mid sized, clouding of the lens; decreased-absent menace (difficult to evaluate), palpebral pos nose clear ears clean heart/lungs WNL soft, nonpainful abdomen pea sized, firm SQ lump associated with caudal L mammary glands severe circling to R normal CP/reflexes x 4 A circling to R-suspect intracranial dz, concern for neoplasia MGT-r/o other soft tissue mass mild anemia-r/o paraneoplastic vs other P Rec’d CXR Rec’d excisional biopsy of MGT Rec’d MRI prognosis: poor; concern for intracranial neoplasia (r/o primary vs metastatic)
Generated on Jun 5 2017 6:00PM
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