LUNA – A1100117

Manhattan Center

My name is LUNA. My Animal ID # is A1100117.
I am a female black shih tzu mix. The shelter thinks I am about 3 YEARS old.

I came in the shelter as a OWNER SUR on 12/19/2016 from NY 10460, owner surrender reason stated was PET HEALTH.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
12/22/2016 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 4.1 LBS.

12/22/16 11:32 s/o: BAR heart and lungs wnl ventral alopecia, skin not irritated shaking and unsteady on feet PLR wnl a: PSS P: continue treatment, seek NH placement 12/21/16 10:43 HX: Previous hx – portosystemic shunt and skin allergies. PU/PD. Previously vomited post eating. S/O) Shivering but jumps into arms and wants to be held. Ate well. No vomit in cage. BAR-H. MM pk, crt 2. EENT: Mild MPOD in medial canthus and some on hair near eyes. Slight SND. Mild-mod ddz. MSI: BCS= 3/9, thin. AMb x 4 but moderate ataxia. Falls over when active but gets up immediately. Alopecia ventrally as previously described. CV: HR= 160, nsr but mild tachycardia, NM. L: clr bilat and eup. Abd: SNP, NMP. A) 1. Reported PSS – recently diagnosed at AMC. Previous full BW – elevated bile acids 11/14/16 2. Ataxia – r/o secondary to shunt vs other neuro cause 3. Dermatitis/ alopecia. 4. Mild oculonasal d/c – r/o post bordatella vx vs ocular irritation from hair vs infxn starting. 5. Thin. P) On enulose and metronidazole – prescribed by AMC Nov 2016. Low protein food needed. Placement requested. Prognosis: Fair to Guarded, better if surgery successful. 12/20/16 Hx: Former owner states that pt has portosystemic shunt and skin allergies. S: Alert, allows handling, shivering. O: BAR-H, BCS 4/9, MMs pink and moist EENT: Mild waxy discharge AU. No discharge OU, nose. Mild tartar and gingivitis. PLNs: Not enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation, no masses palpated M/S/I: Amb x4. Alopecia on ventral abdomen and thorax, quiet skin. UG: Female, well developed vulva Neuro: Ataxia in hind legs A: Reported PSS and skin allergies Short-term prognosis: Excellent to good with surgery; fair to poor without. Current surgery status: Temporary waiver for liver shunt P: Start medical management of portosystemic shunt – ideally, this pt should have liver surgery to correct the shunt. 1. Lactulose 2 ml PO q8 hours – continue until surgery 2. Metronidazole 50 mg/ml 0.3 ml PO BID – continue until surgery 3. Low protein diet if available – continue until surgery 4. Seek placement 1088 –

12/19/2016 PET PROFILE MEMO
12/19/16 19:22 Basic information Luna is a three year old shitzu. She is female unaltered. Owner got her as a gift from a coworker. Owner is surrendering due to lunas health problems. Luna has a liver condition that is long term and has skin allergiesthat have caused her to loose some hair on chest. She has seen a vet numerous times about her health issues. Socialization Around strangers, she is shy for a few minutes then warms up after some time. She has not been around small children so play behavior is unkown. She plays gentle with adults.She lived with a 3 month old yorkie and was tolerant with the yorkie. She has not lived with any cats. There is no bite history of person or animal. Behavior Owner stated that there are no behavior concerns and that her behavior is good. During storms she isnt bothered. She isnt bothered with touching the food bowl, taking a toy or bone out her mouth, giving a bath. She struggles when brushing of coat but does not growl or show any concerning signs. She isnt bothered with getting her nail trimmed. She is afraid of unfamilar approaches to house. For the new family to know Owner described her as friendly, affectionate, and mellow. Her activity level is high. When owner is home she stays inher favorite spot. She doesnt play games or with toys that much. she was kept mostly indoors and was eating science diet prescribed wet food. She is mostly hous trained and has accident a few times a week. She uses a wee wee pad. When left alone in house she well behaved. She has been crate trained and does well for 8 hours. She knows stay and stop as commands. She doesnt pull on leash owner has never had her off leash behavior upon intak Luna was nervous at first but warmed up to counselor. Counselor was able to collar, scan, take intake photo, and pick up

WEB MEMO
No Web Memo

12/22/2016 BEHAVIOR EVALUATION – NH ONLY
Exam Type BEHAVIOR
Due her current medical condition/health status, Luna is not an appropriate candidate for a SAFER assessment at this time. The behavior department believes Luna 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 Luna to new and unfamiliar situations.

GROUP BEHAVIOR EVALUATION 
No Group Behavior Summary

12/19/2016 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
SCAN NEGATIVE BARH PE– INTACT FEMALE EATING SOFT FOOD. AMB X 4 MILD TARTAR ALOPECIA AT VENTRAL ABDOMEN; THORAX COJUNCTIVITIS– EYES ARE FLUSHED. SHOWED NEUROLOGICAL SYNDROME AS PER OWNER– HX OF LIVER SHUNT & SKIN ALLERGY (NO DOCUMENTS PROVIDED) — ON VET CHECK APPLIED ACTIVYL 0.4 CC PYRANTEL PO GAVE ALLOWS HANDLING NOSF

12/22/2016 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
12/22/16 11:32 s/o: BAR heart and lungs wnl ventral alopecia, skin not irritated shaking and unsteady on feet PLR wnl a: PSS P: continue treatment, seek NH placement 12/21/16 10:43 HX: Previous hx – portosystemic shunt and skin allergies. PU/PD. Previously vomited post eating. S/O) Shivering but jumps into arms and wants to be held. Ate well. No vomit in cage. BAR-H. MM pk, crt 2. EENT: Mild MPOD in medial canthus and some on hair near eyes. Slight SND. Mild-mod ddz. MSI: BCS= 3/9, thin. AMb x 4 but moderate ataxia. Falls over when active but gets up immediately. Alopecia ventrally as previously described. CV: HR= 160, nsr but mild tachycardia, NM. L: clr bilat and eup. Abd: SNP, NMP. A) 1. Reported PSS – recently diagnosed at AMC. Previous full BW – elevated bile acids 11/14/16 2. Ataxia – r/o secondary to shunt vs other neuro cause 3. Dermatitis/ alopecia. 4. Mild oculonasal d/c – r/o post bordatella vx vs ocular irritation from hair vs infxn starting. 5. Thin. P) On enulose and metronidazole – prescribed by AMC Nov 2016. Low protein food needed. Placement requested. Prognosis: Fair to Guarded, better if surgery successful. 12/20/16 Hx: Former owner states that pt has portosystemic shunt and skin allergies. S: Alert, allows handling, shivering. O: BAR-H, BCS 4/9, MMs pink and moist EENT: Mild waxy discharge AU. No discharge OU, nose. Mild tartar and gingivitis. PLNs: Not enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation, no masses palpated M/S/I: Amb x4. Alopecia on ventral abdomen and thorax, quiet skin. UG: Female, well developed vulva Neuro: Ataxia in hind legs A: Reported PSS and skin allergies Short-term prognosis: Excellent to good with surgery; fair to poor without. Current surgery status: Temporary waiver for liver shunt P: Start medical management of portosystemic shunt – ideally, this pt should have liver surgery to correct the shunt. 1. Lactulose 2 ml PO q8 hours – continue until surgery 2. Metronidazole 50 mg/ml 0.3 ml PO BID – continue until surgery 3. Low protein diet if available – continue until surgery 4. Seek placement 1088 –

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