LUNA – A1082041

LUNA – A1082041

FEMALE, BROWN / BLACK, YORKSHIRE TERR MIX, 11 yrs
OWNER SUR – ONHOLDHERE, HOLD FOR ID Reason MOVE2PRIVA
Intake condition UNSPECIFIE Intake Date 07/21/2016, From NY 10460, DueOut Date 07/28/2016,

Medical Behavior Evaluation BLUE
Medical Summary While staying at the bronx — dog vomited and also became uncomfortable (constant twitching — possible seizure watch) Microchip:4C027B7E44 Geriatric Sex: female Age 11 years Mentation: BARH Eyes: cloudy OU Ears: clean Nose: clear Teeth: severe tartar If abnormal BCS: 3 Skin: WNL Hair Coat: Flea comb negative Declawed: No Any injuries: none physically present Behavior: tense and fearful Medication: VC will determine NOSF
Weight 5.1

Re-Exam (7/22/16):

S/O: While staying at the Bronx —  dog vomited and also became uncomfortable (constant twitching — possible seizure watch)

somewhat nervous, but allows examining, resents looking at face

EENT: pink gums, severe tartar, moderate gingivitis

ABN: SNP

UROGEN: FI, no palpable MGTs

H/L: NSF, no ma

NEURO: WNL, no twitching

M/S: amb x4, BCS /9

A: reported V: r/o GI (infectious, stress, metabolic, other) vs. non GI (stress, secondary to seizures, other)

possible seizures: r/o primary neuro dz, vx secondary (underying hepatic, other)

severe dental and moderate periodontal dz

P: move to medical ward to monitor for seizures, if none observed after 72hrs, can move back out to holding. Consider cbc/chem if any signs. Monitor for V- if con’t may warrant cerenia inj, rads, other

as for any geriatric p, rec cbc/chem/t4/ua/fecal OPG as general health screen

rec dental px- has severe dental dz and moderate periodontal dz

prognosis: open, depending on whether signs resolve

Re-Exam (7/23/16):

S/O: no facial fasciculations noted since yesterday

no urine or feces in kennel, dry food appears untouched

H/L: no m/a, lungs clear, eupneic

ABN: SNP

NEURO: normal mentation, no facial twitching, BAR

M/S: amb x4

A: h/o possible seizures and V once- NSF at this time

P: CTM

PROFILE:

Luna A1082041 is an approx 11 year old Yorkie and is being surrendered because her owner moved into a new home that does not allow pets. She has not been to the vet in 2 years and she currently has no health issues.

Socialization:  Luna is very friendly with strangers, adults and children. She lived in a home with a 2 year old and played exuberantly with her and loves to give kisses. She has been around 4 other dogs which were from the same litter and she was playful with them. She has not been around  cats. She has not bitten anyone or any other animal.

Behavior:  Luna was walked twice a day and used wee wee pads in the home. She was not bothered by thunderstorms or fireworks. She loves baths and brushing and allowed nail trimming. She was not bothered by taking her food bowl, treats or toys away. She wags her tail when strangers approach

For a new family to know: Luna is described as friendly, playful, loving, and loves to cuddle. She follows the family around in the home. She loves to sleep in the bed with the child and loves to cuddle with her. She played with her chew toys and squeaky toys all the time. She was fed small bites dry food and house food sometimes. She loves to go outside and go on walks.

Behavior during intake:   Luna approached with a wagging tail but became fearful when I tried to scan her . She tried to hide behind her owner. She allowed to be picked up, collared, photographed and transferred into a kennel.

Group Behavior:  7/22: When off leash with other dogs Luna is uncomfortable and avoids interaction.

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