MALFOY – 9140
Safe - 11-15-2017 Brooklyn
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MALFOY – 9140
**LEG FRACTURE **
Breed Yorkshire Terrier Cross, Sex Male Color Tan / Blue, Spayed / Neutered No Age 12Yrs, Size Small
Animal ID: 9140
Please take note of the Animal ID before contacting us
Microchip Number: 981020025096024
DVM Intake Exam
Estimated age: ~12 year, Microchip noted on Intake? negative History : stray Subjective: BARH Observed Behavior -Very painful and tried to bite with any handling. Gave telazol for procedures Evidence of Cruelty seen – yes-neglect Evidence of Trauma seen – yes-fractures Objective P = wnl R = eupneic BCS 5/9 EENT: Eyes clear no d/c with lenticular sclerosis ou, ears clean, no nasal discharge noted Oral Exam: adult dentition, moderate dental disease, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI, 2 testicles descended MSI: Ambulatory x 4 with splint soaked in urine in place (see below), skin free of parasites, no masses noted, healthy hair coat but very malodorous from splint CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: RFL Necrotic wounds (carpus and medial elbow) from bandage/splint being left on for too long RFL complete transverse closed fractures of radius and ulna Geriatric Painful Plan: Continue to monitor while at BACC, Sedated with 0.15ml telazol IM, Hydromorphone 0.05mg/kg IM given once, CBC-mild lymphopenia 1.03 (1.05-5.1), mild monocytosis 1.17 (0.16-1.12), eosinopenia 0.01 (0.06-1.23), mild thrombocytosis 525 (148-484), Chem-wnl, Rimadyl 4.4mg/kg PO SID x7d, Hydromorphone 0.1mg/kg IM BID x3d, Removed bandage-caudal spoon splint that has been left on for too long-severe bandage sore on medial elbow with swelling. Lateral carpus is necrotic and there are tendons exposed. The bandage was soaked in urine and was very malodorous and necrotic, 2 view RFL rads-mid diaphyseal complete closed transverse radial and ulnar fractures with a small amount of callus formation, Replaced new caudal spoon splint with SSD and tefla on open wounds-stirrups, cotton padding, vetcling, vetwrap, replace bandage every 3 days, Rec Nh placement ASAP-may need amputation vs longterm care and frequent sedated bandage changes, Prognosis: Good but will need longterm care for wound and fractures, SURGERY: permanent waiver from surgery due to age
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