KIA – A1104150

Manhattan Center

My name is KIA. My Animal ID # is A1104150.
I am a female gray and white am pit bull ter mix. The shelter thinks I am about 10 YEARS old.

I came in the shelter as a STRAY on 02/19/2017 from NY 10456, owner surrender reason stated was STRAY.

02/22/2017 AT RISK MEMO
Kia A1104150 is at risk due to medical condition, please see most recent exam below

MOST RECENT MEDICAL INFORMATION AND WEIGHT
02/22/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 35.8 LBS.

2/22/17 Hx: Pt was brought outside yesterday afternoon and seems to do better when standing on grass or turf than on indoor flooring – stands on 3 legs (non-weight-bearing on RHL). S: Trembling, standing on 3 legs O: BAR, good hydration today, pink MMs, prolonged CRT = 3 sec EENT: No discharge OU, AU, nose. Severe tartar and gingival recession. H/L: Eupnic, not ausculted Abd: Soft, nonpainful, no masses. M/S/I: Non-weight-bearing on RHL. Severely swollen joints x4 legs. A: Polyarthritis – R/O autoimmune vs. infectious vs. other P: Continue current tx. Add prednisone 15 mg PO SID and doxycycline 150 mg PO BID. Rec immediate placement with joint taps/imaging. Consider EHR. 1088 —- 2/21/17 Hx: Polyarthritis per hx and informal internist consult – joint swellings and DJD seen in mult joints S: Quiet, head down, allows handling, no energy. Does not try to stand when lifted up and held in standing position. O: BAR, BCS 1-2/9, MMs pale pink and tacky, CRT <2 sec, notably decreased skin turgor, estimated 8-10% dehydrated. Severe generalized muscle wasting. EENT: No discharge OU, AU, nose. PLNs: Not enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Tucked up, doughy, empty M/S/I: No interest in standing even when weight fully supported by handler. Firm swollen joints in all limbs – carpi, stifles, tarsi, feet. UG: Female A: 1. Polyarthritis – R/O autoimmune vs. infectious 2. Dehydration Short-term prognosis: Guarded-grave P: 1. Continue buprenorphine but switch to SQ instead of OTM. 2. LRS 1 liter SQ SID x3 days 1088 — — 02/19/17 10:40 ***EXAM CLIPPED*** sedated with 0.35ml Dexdorm & 0.35ml Torb, reverse with 0.35ml Antisedan pelvic Rads: no fractures, osteoarthritis in stifles (osteophyrosis and bony proliferation at joints) CBC: nonregenerative anemia (r/o anemia of chronic dz vs other) Chem: hyperglob (r/o chronic inflammation) px open, recommend 4Dx, joint taps to rule out inx dz

PET PROFILE MEMO
No Pet Profile Memo

02/21/2017 WEB MEMO
A volunteer writes: She is so sweet! Such a good girl! Love her! Our medical staff can’t stop singing Kia’s praises and with good reason. This dainty pup is the most adorable little thing and unbelievably easy to handle given the fact that she’s in pain. Kia craves attention and treats and lets me carry her without complaint and while she can stand for a few minutes at a time, she does hold her lame leg up in the most poignant way. Amazingly, given that she spends most of her day on ‘bed rest’, the minute her feet hit the grass she takes care of all her business tout suite–what a good girl! Kia poses for some pictures and accepts a few snuggles and kisses but right now the great outdoors is not her cup of tea so we retire back to her warm den where she can nuzzle into bed once more. A dainty delight who so deserves to be treated like the perfect Princess she is, Kia can’t wait to begin her happily-ever-after story with a new home and family, will you help her take the first step?

02/20/2017 BEHAVIOR EVALUATION – NH ONLY
Exam Type BEHAVIOR
KNOWN HISTORY: None Unaltered, Stray SAFER ASSESSMENT: Due her current medical condition/health status, Kia is not an appropriate candidate for a SAFER assessment at this time. The behavior department believes Kia would benefit best from placement with a New Hope Rescue who can meet her needs medically and then assess behavior once she is in a stable environment. Force-free, reward based training is advised when introducing/exposing Kia to new and unfamiliar situations. Kia appears to be very sweet and calm, she allows all handling without any issue and is highly attention seeking. Kia has displayed no behavioral concerns. MEDICAL BEHAVIOR: 02/19/17 During her initial medical exam, Kia allowed all handling. ENERGY LEVEL: RECOMMENDATIONS: New Hope Only _X_Place with a New Hope partner (The behavior department believes Kia would benefit best from placement with a New Hope Rescue who can meet her needs medically and then assess behavior once she is in a stable environment.)

GROUP BEHAVIOR EVALUATION 
No Group Behavior Summary

02/19/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
02/19/17 10:40 S: ver sweet stray, came in this morning O: dehydrated approximately 6% EENT: severe dental tartar and calculi, missing R upper PM1 Int: generalized scale, overgrown nails Lnn: WNL CV: NMA, s&s pulses, pale pink tacky mm Resp: clear lungs, eupnic Abd: SNP doughy loops of SI UG: female, moderately distended nipples, moderately develople vulva MS: BCS 3/9, severe mm atrophy in hindlimbs, nonwt bearing in RHL, poorly wt bearing on LHL, severe firm/bony swelling in stifles and carpi, moderate firm/bony swelling in tarsi and elbows, Neuro: mentation WNL, no ataxia, strong withdrawal x4 A: old pelvic fx vs luxation vs other (polyarthritis inx vs autoimmune vs paraneoplasitic) P: 400ml LRS SQ sedated with 0.35ml Dexdorm & 0.35ml Torb, reverse with 0.35ml Antisedan pelvic Rads: no fractures, osteoarthritis in stifles (osteophyrosis and bony proliferation at joints) CBC: nonregenerative anemia (r/o anemia of chronic dz vs other) Chem: hyperglob (r/o chronic inflammation) px open, recommend 4Dx, joint taps to rule out inx dz Initial completed by 0983 Intact female Scan negative for a microchip About 6 years old OU=clear Nose= No discharge AU=clean Teeth have heavy tarter—teeth condition can be attributted to poor diet Coat is clean Lamness=RHL– Not applying any pressure Nails extremely long, especially both back paws. Nails trimmed Walks pigeon toed due to the long nails Lower front legs appear to be swollen Dehydrated Emaciated TID feeding applied Will be kept in medical for further observation

02/22/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
2/22/17 Hx: Pt was brought outside yesterday afternoon and seems to do better when standing on grass or turf than on indoor flooring – stands on 3 legs (non-weight-bearing on RHL). S: Trembling, standing on 3 legs O: BAR, good hydration today, pink MMs, prolonged CRT = 3 sec EENT: No discharge OU, AU, nose. Severe tartar and gingival recession. H/L: Eupnic, not ausculted Abd: Soft, nonpainful, no masses. M/S/I: Non-weight-bearing on RHL. Severely swollen joints x4 legs. A: Polyarthritis – R/O autoimmune vs. infectious vs. other P: Continue current tx. Add prednisone 15 mg PO SID and doxycycline 150 mg PO BID. Rec immediate placement with joint taps/imaging. Consider EHR. 1088 —- 2/21/17 Hx: Polyarthritis per hx and informal internist consult – joint swellings and DJD seen in mult joints S: Quiet, head down, allows handling, no energy. Does not try to stand when lifted up and held in standing position. O: BAR, BCS 1-2/9, MMs pale pink and tacky, CRT <2 sec, notably decreased skin turgor, estimated 8-10% dehydrated. Severe generalized muscle wasting. EENT: No discharge OU, AU, nose. PLNs: Not enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Tucked up, doughy, empty M/S/I: No interest in standing even when weight fully supported by handler. Firm swollen joints in all limbs – carpi, stifles, tarsi, feet. UG: Female A: 1. Polyarthritis – R/O autoimmune vs. infectious 2. Dehydration Short-term prognosis: Guarded-grave P: 1. Continue buprenorphine but switch to SQ instead of OTM. 2. LRS 1 liter SQ SID x3 days 1088 — — 02/19/17 10:40 ***EXAM CLIPPED*** sedated with 0.35ml Dexdorm & 0.35ml Torb, reverse with 0.35ml Antisedan pelvic Rads: no fractures, osteoarthritis in stifles (osteophyrosis and bony proliferation at joints) CBC: nonregenerative anemia (r/o anemia of chronic dz vs other) Chem: hyperglob (r/o chronic inflammation) px open, recommend 4Dx, joint taps to rule out inx dz

 

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