CHOCOLATE – A1088857
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SAFE 09/11/16
Manhattan Center
My name is CHOCOLATE. My Animal ID # is A1088857.
I am a female brown am pit bull ter mix. The shelter thinks I am about 6 MONTHS old.
I came in the shelter as a STRAY on 09/06/2016 from NY 11208, owner surrender reason stated was STRAY.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
09/10/2016 Exam Type RE-EXAM – Medical Rating is 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 24.2 LBS.
9/10/16 S/O-BAR, eating well, amb x 4-I/IV LHL lameness P-continue with current treatment plan 9/9/16 S/O-BAR, eating well, amb x 4-I/IV lameness on LHL P-continue with med treatment and cage rest/limited walks 9/8/16 S/O-BAR, pink mm, hydrated EENT-CAU, COU, no nasal d/c H/L-no m/a, clear and eup GI-negative oral, SNP, NMP MSI-BCS 3/5, amb x 4 with toe touching LHL lameness, crepitus on ROM of L hip, good haircoat Neuro-BAR, normal cranial nerves, amb x 4, normal tail and anal tone P-continue with buprenorphine add rimadyl 25 mg-1 tab PO BID x 7 days discuss with NH abt placement as site of fracture may require sx repair 9/7/16 Buprenorphine 0.72ml IV administered prior to xrays S: Patient BAR, friendly, nervous O: Thoracic auscultation: wnl Abdominal palpation: mild pot belly, otherwise unremarkable Orthopedic exam: no crepitus or pain on ROM or long bone palpation. Toe-touching left hind lameness, vocalizing with gait analysis Neuro assessment: Withdrawal present in both hind limbs, normal anal tone Rectal exam: Unremarkable, no pelvic fractures palpated A: 6m F AMPT mix 1. HBC 2. Left hind limb lameness- rule out left ischial vs. acetabular fracture, rule out SI luxation Rec: New Hope placement Orthopedic consultation with xrays to determine if conservative vs. surgical treatment is recommended Continue pain management x 3 days, or until placement
09/07/2016 PET PROFILE MEMO
09/07/16 12:06 Upon intake dog was very quiet and allowed all handling. She was unable to walk
WEB MEMO
No Web Memo
09/10/2016 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
Chocolate came in as stray. Due to her medical condition the behavior department decided to do a limited test. Chocolate walks calmly on leash. She was calm and relaxed during handling. We skip the tag interaction due to his leg injury. During the resources Chocolate was easy to handle when chewing on toys. She was relaxed when approaching a friendly dog, but was not playful. Chocolate did not show any concern during the behavior assessment. The behavior department feels that she can go to an Average home. Look: 2. Dog pulls out of Assessor’s hands each time without settling during three repetitions. Sensitivity: 1. Dog stands still and accepts the touch, her eyes are averted, and her tail is in neutral position with relaxed body posture. Squeeze 1: 1. Dog gently pulls back her paw. Squeeze 2: 1. Dog gently pulls back her paw. Toy 1. Dog settles down close to chew, will relinquish toy to you. Dog – dog 2. Dog approaches helper dog with tail at spine level, body not stiff, ears relaxed, and lip long or neutral. Helper: A0887753
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
09/06/2016 INITIAL PHYSICAL EXAM
Medical rating was 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
Scanned negative QARH- tolerates handling Intact female Approx 6months old Hit by car Pale mm, normal vitals, temp 100.8F Eyes, ears and nose- clears Teeth- white No parasite or fleas seen Lethargic, refuse to walk No obvious injuries or internal bleeding seen- per 1273 No vaccines or dewormer at this time as per 1273
09/10/2016 RE-EXAM (LAST MAJOR EXAM)
Medical rating 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS,
9/10/16 S/O-BAR, eating well, amb x 4-I/IV LHL lameness P-continue with current treatment plan 9/9/16 S/O-BAR, eating well, amb x 4-I/IV lameness on LHL P-continue with med treatment and cage rest/limited walks 9/8/16 S/O-BAR, pink mm, hydrated EENT-CAU, COU, no nasal d/c H/L-no m/a, clear and eup GI-negative oral, SNP, NMP MSI-BCS 3/5, amb x 4 with toe touching LHL lameness, crepitus on ROM of L hip, good haircoat Neuro-BAR, normal cranial nerves, amb x 4, normal tail and anal tone P-continue with buprenorphine add rimadyl 25 mg-1 tab PO BID x 7 days discuss with NH abt placement as site of fracture may require sx repair 9/7/16 Buprenorphine 0.72ml IV administered prior to xrays S: Patient BAR, friendly, nervous O: Thoracic auscultation: wnl Abdominal palpation: mild pot belly, otherwise unremarkable Orthopedic exam: no crepitus or pain on ROM or long bone palpation. Toe-touching left hind lameness, vocalizing with gait analysis Neuro assessment: Withdrawal present in both hind limbs, normal anal tone Rectal exam: Unremarkable, no pelvic fractures palpated A: 6m F AMPT mix 1. HBC 2. Left hind limb lameness- rule out left ischial vs. acetabular fracture, rule out SI luxation Rec: New Hope placement Orthopedic consultation with xrays to determine if conservative vs. surgical treatment is recommended Continue pain management x 3 days, or until placement
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