CHICO – A1120906 

CHICO – A1120906

**SAFER: AVERAGE HOME**

MALE, TAN / WHITE, CHIHUAHUA SH MIX, 11 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 08/05/2017, From NY 10027, DueOut Date 08/08/2017,

Medical Behavior Evaluation GREEN
Medical Summary  Estimated age: 11yr Microchip noted on Intake? none. Allows all handling  P = 120 R = 24 BCS 5/9 EENT: Eyes cloudy in appearance, but can still see fundus, ears clean, mild serous nasal d/c, brown debris AU- not obvious active infection, +/- very mild head tilt to L Oral Exam: oligodontia, severe dental and periodontal dz PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, eupneic with harsh sounds- r/o referred upper airway sounds vs. lower airway, no obivous HM or arrythmia ABD: Non painful, no masses palpated U/G: MI, both testicles descended MSI: Ambulatory x 4- very stiff gait,limited ROM in HLs, very long nails, one partially broekn at base of 4th digit L FL, skin free of parasites, no masses noted, healthy hair coat. Cut of dangling nail on 4th digit of L FL- although no bleeding, sensitive when touched CNS: mentation appropriate – no signs of neurologic abnormalities Assessment MI r/o arthritis severe dental and periodonal dz, oligontia CIRDC AU: r/o debris build up Plan 2v thoracic rads: DV and lateral- large cardiac silhouette with dec definition of caudal aspect of cardiac waist on lateral, very mild bronchial pattern- r/o old age changes, bony changes to thoracolumbar spine Prognosis: fair baytril 22.7mg: 1/2T PO SID x14 nebulization BID x3 move to medical iso offered food: ate with gusto nail trim, cleaned ears pending test results consider NSAIDs/pain meds for suspected OA SURGERY: Permanent waiver due to geriatric age
Weight 4.0

RE EXAM  8/07  Hx: dx with CIRDC on intake, started on nebulization and baytril; S/O; good appetite; QAR, sleeps hard and startles easy, may have hearing loss; mm pk, sl tacky; CRT <2 sec; L sided head tilt; less laryngeal congestion today; OU-increased epiphora, mild anterior flare, immature cataracts; no murmurs or arrhythmias, harsh referred upper airway noise; soft abdomen; mild kyphosis of TL spine, mild dec hip extension bilaterally; grade II MPL bilaterally; mildly high stepping gait, normal-increased reflexes x 4; normal CP x; 4; A; nasopharyngeal congestion-r/o CIRDC vs chronic rhinitis vs other; L head tilt; arthritis-r/o IVDD vs other; P; CWCT; add TAB ointment OU BID x 7 days; cerenia: 0.2 ml SQ SID x 3 days;  prognosis: open; significant of head tilt is unknown at this time but may be residual from previous episode of idiopathic vestibular; nasopharyngeal congestion appears to be improving but the significant of this is also unknown; because it was diagnosed on intake, it is unlikely to be related to shelter-related CIRDC but may be due to dental disease, elongated soft palate or even chronic rhinitis

Profile:

08/05/17 10:14  Chico came in whining and crying loudly. His nails were extremely long and he could not walk. He did allow all handling and seemed to calm down a bit when counselor held him. His eyes were extremely foggy as well. He was not able to stand on his own.

Behavior Average:

KNOWN HISTORY: None

8/5/17

Unaltered Male, Stray

SAFER ASSESSMENT:

8/7/17

Look: 1. Dog’s eyes are averted. His ears are back, his tail is down, and he has a relaxed body posture. Dog allows head to be held loosely in Assessor’s cupped hands.

Sensitivity: 1. Dog stands still and accepts the touch, his eyes are averted, and his tail is in neutral position with relaxed body posture. Dog’s mouth is closed.

Tag: 1. Follows at end of leash slowly, body soft.

Squeeze 1: 1. Dog gently pulls back his paw.

Squeeze 2: 1. Dog gently pulls back his paw.

Toy: 1. Minimal interest, dog sniffs toy.

Summary: Chico displayed no concerning behaviors on his assessment.

DOG-DOG INTERACTION ASSESSMENT:

Summary

PLAYGROUP:

Summary

INTAKE BEHAVIOR

Upon intake, Chico was whining but calmed down when the counselor held him. He allowed all handling.

MEDICAL BEHAVIOR: 8/5/17

During his initial medical exam, Chico allowed all handling.

ENERGY LEVEL:

We have no history on Chico so we cannot be certain of his behavior in a home environment. In the care center, he displays a low level of activity.

RECOMMENDATIONS: Average (suitable for an adopter with an average amount of dog experience)

 

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