KIRA – 17848
Safe - 1-13-2018 Manhattan
KIRA – 17848
Care Center Location: Manhattan, ZIP Code From: 11367, Intake Date: 1/8/18
Intake Type: Stray, Medical Behavior: Green, Age: 8 years, Sex: Female, Weight: 13 lbs
DVM Intake Exam; Estimated age:8-10 years; Microchip noted on Intake?yes; Microchip Number (If Applicable):981020023381542; History :stray dog found in building; Subjective: BAR; Observed Behavior -a little shy but friendly and docile and allows handling; Objective ; BCS 5/9; EENT: OU-lenticular sclerosis; no nasal discharge or sneezing; AU-mild waxy discharge; mild hyperpigmentation along pinna; Oral Exam:mm pk, sl tacky; CRT <2 sec; moderate tartar, staining; fracture of upper L canine with root exposure; PLN: No enlargements noted; H/L: grade III-IV/VI, eupnic, clear lung sounds; ABD: Non painful, no masses palpated; U/G: female, nipples and vulva appear small but no obvious spay scar or tattoo MSI: -ambulatory x 4 with no obvious lameness but does off load weight on LH and there is mild thigh muscle atrophy as compared to RH; good hip extension bilaterally but mild discomfort on extension of L stifle, no instability -multifocal areas of mild dermatitis along lips and along distal limbs; small lick granulomas on medial aspect of carpus bilaterally; CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal:grossly normal; Assessment 1. Heart murmur; 2. Dermatitis-suspect mild allergies, r/o atopy vs food vs fleas; 3. Moderate dental disease with fractured canine; 4. Suspect mild R stifle injury-r/o mild CCL injury vs other; Prognosis: fair ; Plan: -convenia 0.6 ml SQ, gave on intake -recommend routine geriatric bloodwork, unable to run today due to machine malfunction; -ideally would have full cardiac work up with echocardiogram but at minimum should have chest xrays, ECG and blood pressure monitoring; -recommend dental cleaning with extraction of canine tooth if okay for anesthesia after cardiac work up; SURGERY:permanent waiver due to heart murmur
Details on my behavior are…
Behavior Assessment Date: 1/9/2018
Date of intake: 8-Jan-2018
Spay/Neuter status: No
Means of surrender (length of time in previous home): Stray
Date of assessment: 9-Jan-2018
Look: 1. Dog’s eyes are averted, ears are back, tail is down, relaxed body posture. Dog allows head to be held loosely in Assessor’s cupped hands.
Sensitivity: 1. Dog stands still and accepts the touch, eyes are averted, and tail is in neutral position with a relaxed body posture. Dog’s mouth is likely closed for at least a portion of the assessment item.
Tag: 1. Dog follows at the end of the leash, body soft.
Paw squeeze 1: 2. Dog quickly pulls back.
Paw squeeze 2: 2. Dog quickly pull back.
Toy: 1. Minimal interest in toy, dog may smell or lick, then turns away.
Summary: Kira approached the assessor in the assessment room with a soft body and jumped up to solicit attention. She was social during the assessment, allowed all handling, and displayed no concerning behaviors.
Date of intake: 8-Jan-2018
Summary: Kira was quiet and shy but then warmed up and allowed handling.
Date of initial: 9-Jan-2018
Summary: Kira allowed handling.
ENERGY LEVEL: We have no history on Kira so we cannot be certain of her behavior in a home environment. In the care center, she displays a medium level of activity.
BEHAVIOR DETERMINATION: AVERAGE (suitable for an adopter with an average amount of dog experience)
H – Healthy
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