LAYLAH – 10019

LAYLAH – 10019

Stray, Tan/White Large Breed Mix 34 lbs.

Medical:: 10/18/17; [DVM Intake] Estimated age: 2 years; Microchip noted on Intake? no; History : stray Subjective: QAR, hydrated; Observed Behavior – friendly, allows exam/treatments with minimal restraint.  Evidence of Cruelty seen -severe neglect; Objective  P = 120  R =wnl BCS: 2/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted; Oral Exam: negative oral exam ; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, soft/somewhat doughy, no masses palpated; U/G: female intact; MSI: Ambulatory x 4, skin free of parasites, no masses noted, ok hair coat. Severely cachectic, about 20 pounds underweight.; CNS: Mentation appropriate – no signs of neurologic abnormalities; Assessment: ; Severe cachexia: rule out nutritional vs infec/inflamm vs metabolic/endocrine vs other PLE?; Prognosis: good if eating well and gaining weight. Plan: re-weigh in 7 days; TID feedings; monitor appetite/attitude, consider fecal if she has diarrhea. Bloodwork/xrays if not eating or begins to vomit.; continue to monitor at ACC; SURGERY: temporary waiver due to body condition

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