LEO – A1115545

Manhattan Center

My name is LEO. My Animal ID # is A1115545.
I am a male brown and tan pomeranian mix. The shelter thinks I am about 10 YEARS old.

I came in the shelter as a OWNER SUR on 06/16/2017 from NY 10465, owner surrender reason stated was MOVE2PRIVA.

06/18/2017 AT RISK MEMO
A1115545 Leo is At Risk for diabetes mellitus (please see exam below)

MOST RECENT MEDICAL INFORMATION AND WEIGHT
06/18/2017 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 7.9 LBS.

Hx: owner surrender; dx with DM on intake; ketone neg on u/a; minimal appetite-will only eat baby food S/O QAR, had brief episode of very mild head tremors licking lips during exam as if nauseas mm pk/pigmented, tacky; CRT 2 sec severe dental disease OU-immature cataracts ears clean heart/lungs WNL abdomen sl tense, no palpable abnormalities A diabetes mellitus inappetance-suspect concurrent pancreatitis; r/o DKA vs dental disease vs other cataracts severe dental disease P gave 0.4 ml cerenia SQ at 9 am, continue SID x 3 days offered canned w/d at 10:11 am and ate very well gave 2 U humulin insulin SQ at 10:15 am rec’d glucose curve in 10-14 days rec’d dental once DM is stabilized prognosis: fair

06/16/2017 PET PROFILE MEMO
06/16/17 14:39 Basic Info Leo is a 10 year old fluffy red and brown small dog who is calm and likes to be held. He last visited a vet on 6/7/17. Socialization Leo is social with strangers when they come over and he approaches them and allows them to pet him. He is tolerant and relaxed around children and plays gently. When he sees dogs he may bark at them but he socializes well with other dogs and is relaxed and sometimes playful if he has the energy. He has never been around a cat before. He has never bitten a person or aniaml before. Behavior Leo does not use the bathroom indoors and does not destroy household items. He is not bothered by having his food or treats touched or taken from him. He is not bothered by being bathed and gets brushed everyday.. He will bark when someone unfamiliar approaches the door but is not bothered by having someone approaching his owner. New Family Leo has a medium level of energy at home and likes to follow his owners around the home and be in their presence. He is not partial to toys and sleeps inhis cage that he has free access to go into as he wishes. he is fed dry food once or twice daily. He uses the bathroom outside well and is behaved when left alone in the house or backyard. he does not kow any commands and walks well on the leash. he is not walked without a leah. Intake Behavior Leo remained in counselors arms for majority of intake and when put down he is very calm but puts paws on counselor to pick back up. He allowed all handling for collaring, scanning and photograph and is completely relaxed in counselors arms.

06/18/2017 WEB MEMO

06/18/2017 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
KNOWN HISTORY: Full Profile 6/16/17 Unaltered Male, Owner Surrender Previously lived with: Adults Behavior toward strangers: Social Behavior toward children: Tolerant and relaxed Behavior toward dogs: Relaxed and sometimes playful Behavior toward cats: Unknown Resource guarding: None reported Bite history: None reported Housetrained: No Energy level/descriptors: Leo is described as having a medium level of activity. SAFER ASSESSMENT: 6/18/17 Look: 1. Dog’s eyes are averted. His ears are back, his tail is down, and he has a relaxed body posture. Dog allows head to be held loosely in Assessor’s cupped hands. Sensitivity: 1. Dog stands still and accepts the touch, his eyes are averted, and his tail is in neutral position with relaxed body posture. Dog’s mouth is open Tag: 1. Follows at end of leash, body soft. Squeeze 1: 1. Dog does not respond at all for three seconds. Squeeze 2: 1. Dog does not respond at all for three seconds. Toy: 1. Minimal interest, dog sniffs toy. Summary: Leo displayed no concerning behaviors on his assessment. DOG-DOG INTERACTION ASSESSMENT: Summary PLAYGROUP: Summary INTAKE BEHAVIOR: Upon intake, Leo was calm and allowed handling. MEDICAL BEHAVIOR: 6/16/17 During his initial medical exam, Leo allowed handling. ENERGY LEVEL: Leo’s previous owner described him as having a medium level of activity. RECOMMENDATIONS: Average (suitable for an adopter with an average amount of dog experience)

GROUP BEHAVIOR EVALUATION 
No Group Behavior Summary

06/17/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: 10yrs Microchip noted on Intake? neg History : o surrender Subjective: Observed Behavior – allows all handling Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective P = 120 R = panting BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: severe dental tartar and gingivitis, with gingival recession PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MI, both testicles descended, normal consistency MSI: Ambulatory x 4, skin free of parasites, no masses noted, unkempt furcoat, no spinal pain, L stifle crepitus MPL grade 4/4, good ROM in both HLs CNS: mentation appropriate – shaking in HLs and head, no CP deficits, no spinal pain Assessment DM L MPL grade 4/4 OA shaking: R/o weakness, pain, other neuro condition thin dec app/picky: r/o secondary to dental pain, brewing pancreatitis, primary liver dz, DKA, neoplasia, other Plan BG: 598 in house p urinated- running urine dipstick to check for ketones: blood/hem, Bili, ketones, leukocytes, protein- negative, PH=6, GLU 4+ CBC/chem in house convenia 80mg/ml: 0.3ml SQ once this evening offered various diets- didn’t eat, but drank large amount of water if starts eating, then can start on NPH 1/2 U/kg SQ BID after eating ***Offered baby food- ate few tablespoons at 10:30AM so then gave NPH 2u SQ***r/o p painful in mouth so can only eat baby food? long term consider dental px if p ever stable to undergo ax, but priority is managing DM Prognosis: poor to fair alerted NH- explained p could have underlying medical conditions such as pancreatitis, neoplasia, liver dz. Could progress to DKA. Needs hospitalization, testing SURGERY: Permanent waiver due to geriatric condition and DM

06/18/2017 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
Hx: owner surrender; dx with DM on intake; ketone neg on u/a; minimal appetite-will only eat baby food S/O QAR, had brief episode of very mild head tremors licking lips during exam as if nauseas mm pk/pigmented, tacky; CRT 2 sec severe dental disease OU-immature cataracts ears clean heart/lungs WNL abdomen sl tense, no palpable abnormalities A diabetes mellitus inappetance-suspect concurrent pancreatitis; r/o DKA vs dental disease vs other cataracts severe dental disease P gave 0.4 ml cerenia SQ at 9 am, continue SID x 3 days offered canned w/d at 10:11 am and ate very well gave 2 U humulin insulin SQ at 10:15 am rec’d glucose curve in 10-14 days rec’d dental once DM is stabilized prognosis: fair

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