COCO – A1114189

Manhattan Center

My name is COCO. My Animal ID # is A1114189.
I am a female tricolor beagle mix. The shelter thinks I am about 3 YEARS old.

I came in the shelter as a OWNER SUR on 06/04/2017 from NY 10035, owner surrender reason stated was ALLERGIES.

06/05/2017 AT RISK MEMO
A1114189 Coco is At RIsk for medical reasons (please see exam below)

MOST RECENT MEDICAL INFORMATION AND WEIGHT
06/05/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 14.6 LBS.

Hx: Surrendered, client reported that pt has possible tumors on face and is congested. S: Energetic, barking and whining in kennel, runs around the room, snuggles into handler, allows all handling O: BAR-H, BCS 5/9, MMs pink and moist, CRT <2 sec EENT: Horizontal nystagmus OU. Prolapsed gland of the third eyelid OU – larger prolapse in the RIGHT eye with a small dried-out region in the center of the right gland. Large firm bilobed mass at the dorsal bridge of the nose – larger on the LEFT side than the right. PLNs: Not enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation, no masses palpated M/S/I: Amb x4. No skin lesions noted. UG: Female Neuro: Head tilt to the left Sedated with 0.06 ml butorphanol and 0.41 ml Dexdomitor IM. (Drew up 0.6 ml Dexdomitor for IV injection but pt would not sit still for IV injection. Added additional 0.35 ml to the syringe and administered IM.) Skull rads: right lateral and DV projections showed a large bone-opacity irregular mass in the frontal sinus, with small projections down the nasal conchae. A: Neoplasia in frontal sinuses, possibly a sarcoma, causing nystagmus, head tilt and prolapse of the glands of the third eyelids, as well as congestion Short-term prognosis: Fair to guarded. Pt does not appear to be in pain or discomfort at the moment. P: Recommend oncology consultation. CT and aspirate or biopsy will be needed, with likely radiation or chemotherapy. 1088

06/04/2017 PET PROFILE MEMO
06/04/17 15:55 Socialization around strangers, she is very friendly and goes up to them in a playful manner.She has spent time with a 4 and 5 year olf and is relaxed, respectful, and playful. She plays exuberant with adults and children. She has spent time with small breed dogs and is relaxed, playful. She plays gentle with them. She has spent time with cats and are respectful with cats. There is no bite history with a person or animal. behavior There are no behavior issues owner is concerned about. She is nervous with thunderstorms. She isnt bothered with touching of food bowl and taking a toy out her mouth. She has growled before when taking a bone out her mouth. She allows to be picked up and heldShe isnt bothered with bath time brushing of coat, or trimming of nails. for the new family to know Owner described her as friendly, affectionate, playful, and excitable with a medium activity level. When owner is home, she follows you around. She likes playing with anything and likes to play fetch. She was kept mostly indoors and sleeps on a pillow. She eats both wet and dry food any type. She is mostly house trained and has accidents a few times a week. she is well behaved left alone in the house. She has been crate trained but doesnt do well she willbark and whine. She knows sit, down, and her name. She pulls lightly on leash and when off leash she will run away behavior upon intake coco was receptive to all handling and had happy tail the whole time. Counselor was able to collar, scan, and take intake photo

WEB MEMO
No Web Memo

BEHAVIOR EVALUATION 
No Behavior Summary

GROUP BEHAVIOR EVALUATION 
No Group Behavior Summary

06/04/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: Reported 3 years – exam is consistent with this Microchip noted on Intake? Scanned negative, MC placed during exam History : Minimal hx given. Client reports that pt has possible tumors on face and is congested. Subjective: Energetic, whines when not being paid attention to, allows all handling. Objective BCS 5/9, MMs pink and moist EENT: OU horizontal nystagmus with fast phase to the right. Head tilt to right. Prolapsed gland of the third eyelid OU – worse on the right side. Large very firm bilobed mass at bridge of nose, bigger on left side. Ears clean, no nasal discharge noted Oral Exam: Moderate tartar, fractures to canines. Peripheral LN: Left mandibular LN is firm but of normal size; right mandibular LN is difficult to palpate. Normal popliteal LNs. H/L: NSR, NMA, Repeated stertor and wet cough. Lungs clear. ABD: Non painful, no masses palpated U/G: Female, developed vulva, no discharge MSI: Small alopecic patch of fur between shoulder blades with many comedones and several infected hair follicles. Ambulatory x 4, skin free of parasites, no masses noted CNS: OU horizontal nystagmus with fast phase to the right. Head tilt to right. Mentation appropriate. Assessment: Neurologic disease – R/O brain tumor vs. infection vs. other Plan: 1. CBC/chemistry running, move to Medical 2. Sedated skull rads tomorrow 3. Recommend CT scan ASAP 4. EHR is not unreasonable Prognosis: Fair-poor SURGERY: Temporary waiver due to neurologic disease. 1088

06/05/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
Hx: Surrendered, client reported that pt has possible tumors on face and is congested. S: Energetic, barking and whining in kennel, runs around the room, snuggles into handler, allows all handling O: BAR-H, BCS 5/9, MMs pink and moist, CRT <2 sec EENT: Horizontal nystagmus OU. Prolapsed gland of the third eyelid OU – larger prolapse in the RIGHT eye with a small dried-out region in the center of the right gland. Large firm bilobed mass at the dorsal bridge of the nose – larger on the LEFT side than the right. PLNs: Not enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation, no masses palpated M/S/I: Amb x4. No skin lesions noted. UG: Female Neuro: Head tilt to the left Sedated with 0.06 ml butorphanol and 0.41 ml Dexdomitor IM. (Drew up 0.6 ml Dexdomitor for IV injection but pt would not sit still for IV injection. Added additional 0.35 ml to the syringe and administered IM.) Skull rads: right lateral and DV projections showed a large bone-opacity irregular mass in the frontal sinus, with small projections down the nasal conchae. A: Neoplasia in frontal sinuses, possibly a sarcoma, causing nystagmus, head tilt and prolapse of the glands of the third eyelids, as well as congestion Short-term prognosis: Fair to guarded. Pt does not appear to be in pain or discomfort at the moment. P: Recommend oncology consultation. CT and aspirate or biopsy will be needed, with likely radiation or chemotherapy. 1088

Generated on Jun 5 2017 6:00PM

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