CHICO – 23575

CHICO – 23575

Location: Manhattan; Intake Date: 3/24/18; Intake Type: Stray

Medical Behavior: Orange; Sex: Neutered; Age: 15 years; Weight: 19 lbs

Zip Code: 10024

Vet Notes: 12:29 PM:   CBC-mild neutrophilia (16.29) Chemistry-mild hyperglycemia (147), likely stress related; mildly elevated ALP (251) and globulins (4.6); all other values WNL
A: -suspect stress leukogram -significance of mild ALP elevation unknown at this time but is commonly elevated in older dogs; no significant concern as other values are normal -no indication of ibuprofen toxicity. Vet Notes: 12:24 PM –DVM Intake Exam:  Estimated age: reportedly 15 years, age consistent with geriatric but may be younger, around 12-13 years Microchip noted on Intake? neg, not placed due to behavior   Microchip Number (If Applicable):  History :owner surrender as dog has become increasingly aggressive at home towards family members; owner reports dog has had dermatitis along his feet for the past 6 months and they have been crushing up ibuprofen and putting in his food; also reportedly has been drooling a lot recently; had syncopal episode last night during restraint for LVT check  Subjective:QAR   Observed Behavior -allows gentle petting on head and body but tries to snap when handled; gave 0.25 ml torb IM for exam and allowed muzzling after sedation but would still growl  Objective:   BCS 5.5/9. EENT:  -OU: nuclear sclerosis (age related changes) -AU: severe chronic otitis with stenosis of external ear canals and lichenification -mild serous nasal discharge, no sneezing or coughing Oral Exam: muzzled for exam, unable to evaluate PLN: No enlargements noted H/L: eupnic, clear lung sounds; no murmurs/arrhyhtmias ABD: Non painful, no masses palpated U/G: male  MSI:  -ambulatory x 4 with mild bowing of forelimbs and stiff gait in hindlimbs, does not allow thorough orthopedic evaluation due to behavior -severe dermatitis along all paws, odorous CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal:grossly normal Assessment:1. Geriatric 2. Otitis externa, chronic 3. Pododermatitis 4. Syncopal episode suspect secondary to stress/restraint; cannot rule out underlying heart disease but do not suspect at this time. Prognosis: fair  Plan: -gave Rabies, RR -CBC/chem -gave convenia 0.8 ml SQ -cleaned ears, applied first dose of osurnia AU; repeat in 7 days -gabapentin 100 mg capsule in food if eating well. SURGERY:permanent waiver due to age

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