COCO – A1084407
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SAFE 08/07/16
COCO – A1084407
***DIABETIC – MUST FIND PLACEMENT BY 5PM 08/07/16***
FEMALE, TAN, SHIH TZU / POODLE MIN, 10 yrs
OWNER SUR – EVALUATE, NO HOLD Reason COST
Intake condition EXAM REQ Intake Date 08/06/2016, From NY 10453, DueOut Date 08/06/2016,
Medical Behavior Evaluation No Initial Behavior
Medical Summary O/S for medical reasons/expenses Reportedly diagnosed with diabetes 2-3 months ago. Previous O could not afford insulin – unsure if treatment ever initiated. Prev O reports PU/PD and possible blindness Pt BARH – vocalizes excessively in cage, otherwise friendly Complete lenticular opacity OU. Fundic confirms mature cataracts OU – delayed menac OD, absent OS. Mild/moderate circumfrential corneal neovascularation OU. Mild mucoid dc OU. NND Severe dental disease – several missing teeth with severe gingival recession and excess calculi accumulation. PLN WNL Small BB sized MGT at R5th, L and R3rd MG Moderate epaxial muscle wasting BCS 3/9 H/L auscult WNL – NMA/NSR/PSS Abd tense, no overt abnormalities Stifles stable BG 705 (approx 2 hours post prandial) A: 10 yo F Shih Tzu Diabetic Cataracts OU with visual defecits MGTs Severe dental disease P: BG in house (705) Re-attempt blood draw for in house CBC/Chem (2 initial attempts not enough, clotted) In house urine dip when free catch sample available (ideally, UA with C/S) Keep in medical Begin insulin NPH 1.25 U SQ BID, give after meal – long-term Rx. OK to start tomorrow am. Monitor for signs of OD Reco placement ASAP – pt will need management of multiple chronic diseases. Insulin therapy likely required life-long, shelter env not ideal to care for such disease. Will need follow up blood work/monitoring/potential adjustment of doses. Risk of complications with diabetes – esp if mismanaged. Consider lump/mastectomy of MGTs and 3 view CXR (met check) Needs dental Prognosis guarded
Weight 11.0
Profile
BASIC INFO: Coco is a 10 year old female Shih Tzu / Mini Poodle mix. Her family got her from her previous owners 5 years ago and surrendered her due to lack of funds for vet care. Coco was diagnosed with diabetes 2-3 months ago. She drinks a lot of water. She hasn’t received any insulin, other medications, or special diets.
SOCIALIZATION: Coco is friendly/outgoing with new people. She lived with a child from ages 0-2. She is relaxed while nearby him and if he is touching her gently. If he grabs her roughly, she growls and runs away. Coco lived with another small female dog. She was respectful of her. Outside, he barked at other dogs from a distance and sniffed them up close. Coco hasn’t bit anyone.
BEHAVIOR: Coco doesn’t mind storms. She doesn’t mind when someone takes her food/treat/toy, moves her off furniture, holds/restrains her, wakes her up, or brushes her. She’s nervous but tolerant during baths. She is nervous and pulls her paw away during nail trims. She’s friendly with strangers who approach her home/family.
FOR A NEW FAMILY TO KNOW: Coco’s family describes her as friendly, affectionate, mellow, and medium energy. She follows them, sits in her laps, and cuddles with them. She plays with balls. She lived inside and slept under the bed or on a dog bed. She ate wet Pedigree food and got chicken and bread as treats. She’s housetrained, pottied outside in grass and dirt and inside on wee-wee pads, and didn’t have accidents. She’s well-behaved while home alone. She sits when asked. She went for brisk walks. She sometimes pulls lightly on her leash.
INTAKE: Coco had a soft, relaxed body during intake. She wagged her tail softly while we pet or talked to her. She maintained a soft body while I scanned (-) and collared her. She followed me to the edge of the counter and after I took her pictures, she jumped into my arm. On the floor, she barked and whined and walked around. In my lap, she was quiet and relaxed.
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