JOLENE – 15043
Safe - 12-3-2017 Brooklyn
JOLENE – 15043
**VERY SWEET EMACIATED PUP NEEDS PLACEMENT BY 6PM, 12/03/17**
8 yr. female black/white, stray, 43 POUNDS
DVM Intake Exam; Estimated age: ~8yrs; Microchip noted on Intake? No; History : Stray; Subjective: Quiet/dull, alert, responsive; Observed Behavior – Allows all handling, calm throughout exam; Objective ; P = WNL R = WNL BCS 3/9; EENT: Corneal scarring, conjunctivitis, mucoid ocular discharge, mild otitis, moderate brown waxy debris AU, mild mucoid nasal discharge noted; Oral Exam: Mild dental staining/wear, pink mm; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: female, mild mucoid vaginal discharge; MSI: Ambulatory x 4, weak, skin free of parasites, no masses noted, healthy hair coat, pododermatitis x 4, large skin; tag at left hip, callous at elbows ; CNS: mentation appropriate – no signs of neurologic abnormalities; Assessment: Geriatric, underweight, conjunctivitis, pododermatitis; Plan: Blood work pending. Ears and eyes cleaned. Rec cephalexin 500mg PO q12 x 14 days. Will schedule rimadyl pending blood work; Prognosis: open pending diagnostics; SURGERY: Permanent waiver due to age
Progress Exam:CBC shows mild non-regenerative anemia, moderate leukocytosis characterized by a mild neutrophilia, monocytosis and eosinophilia; Chemistry shows a mild hypoglycemia, moderate azotemia, mild hyperphosphatemia, mild hyperproteinemia and mild hyperglobulinemia; A: Mild anemia, mild inflammatory leukogram, R/O pre-renal azotemia – dehydration, anorexia; P: Rec full body radiographs. Scheduled for tomorrow. LRS 500ml SQ tonight (given). Consider IVC placement;
S/O: QAR, subjectively a little brighter today than yesterday but not by much. Came out of cage on her own but still weak and prefers to lay down. No reports of c/s/v/d. Still not eating. ; EENT: mucopurulent dc ou, enophthalmos; Oral Exam: minimal dental calculus, mm pink, CRT <2 seconds.; H/L: Grade I/VI HM, LCE; Abd: thin, doughy, non painful, no overt masses; MSI: poor BCS, generalized muscle wasting, pododermatitis; Mentation: aware, depressed; U/G: mild seromucoid vaginal d/c; A: KCS; eye discharge ; dehydration; pododermatitis; lethargic; anorexic; emaciated; Heart murmur; vaginal discharge P: – continue TAB OU BID – gave convenia 2.6 mL SQ once 12/2/17 – gave cerenia 1mg/kg IV once – gave famotidine 0.5mg/kg IV once – continue baytril 190mg sid IV slow diluted with sterile saline – continue LRS @ 50ml/hour (60ml/kg/day) during the day, discontinue overnight – continue mirtazipine 1.875mg PO SID x 3-5 days until eating on own. – start syringe feeding – recommend AUS and Echocardiogram
Date of intake: 30-Nov-2017
Summary: Jolene allowed handling.
Date of initial: 30-Nov-2017
Summary: Allows all handling, calm throughout exam.
Behavior Notes:During intake, Jolene was very sweet and allowed the counselor to pet and handle her. She laid down on the floor as counselor was making up paperwork.
BEHAVIOR DETERMINATION: NEW HOPE ONLY
TM – Treatable-Manageable
Recommendations: Place with a New Hope partner
Due to all noted Medical concerns observed in a shelter environment, the behavior department recommends Jolene be placed with a New Hope placement partner who is able to provide an experienced adult-only foster home. A period of decompression is recommended to allow Jolene to acclimate comfortably to her new environment; force-free, reward based training only is advised when introducing Jolene to new and unfamiliar situations. Consultation with a professional trainer/behaviorist is highly recommended for guidance to safely manage/modify any behavior Jolene presents with outside of the care centers.
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