MARCH aka MUNCH – A1104132

MARCH aka MUNCH – A1104132

SPAYED FEMALE, BR BRINDLE / WHITE, AM PIT BULL TER MIX, 2 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition UNSPECIFIE Intake Date 02/18/2017, From NY 11226, DueOut Date 02/21/2017, I came in with Group/Litter #K17-088981

Medical Behavior Evaluation GREEN
Medical Summary  S:  On presentation, patient was BAR on cage, sitting upright.  Normal stool was present in cage and the food in the cage from overnight appeared to have been picked at (appetite 1/3).  Water dish was empty.  Attempted to take patient outside for a walk, however she was trembling and refused to walk.  Limited exam performed due to fearful temperment and due to full exam performed yesterday.  O: mm = pink, tacky gums, CRT = <2sec. hydration = Approx. 5% EENT = moderately injected sclera, scant amount of mucoid ocular discharge (OS>OD).  Brown/black debris covering several teeth, including canines.  No nasal discharge, Clean ears AU. Integument = 2 adjacent large ulcerated lesions (approx. 3-5 cm in diameter each) on cranial sternum appear the same as previously described – granulating over.  Non-painful on palpation, no inflammation or swelling. MS = Amb x 4, patient refused to walk.  Pododermatitis – RF paw is moderate to severely inflamed and swollen.  No obvious discharge, no obvious foreign body present.  No pain elicited when palpated.  All other paws are moderately inflamed with reduced swelling. CNS = A+A. A:  Pododermatitis – r/o secondary to unsanitary living conditions vs. trauma vs. other.      Dental debris – r/o primary dental disease vs. secondary to malnutrition.   Injected sclera OU – r/o secondary to stress vs. primary ocular (conjunctivitis, corneal ulcer vs. other) vs.self trauma vs. other. Nervous behavior. P:  Offer variety of food and water.  Patient drank a large amount of water readily. Attempted to soak RF paw.  Patient tolerated, however very nervous. Start TAB ointment OS BID x 7 days.

**Update – offered a small amount of cat food and vienna sausage.  patient eventually ate all of it.  Gave 0.7 mL inj. Rimadyl (50 mg/mL) SQ once to help with paw swelling and to see if patient is too painful to walk.  Continue Rimadyl at 37.5 mg PO BID x 3 days as long as patient is eating well.

RE-EXAM

02/20/17 : O: QARH. mm=pink, moist, CRT<2 s. Eating/drinking well, urinating well. No vomiting/diarrhea. EENT: Mild serous discharge OU, minimal scleral injection. No nasal discharge. H/L: Lungs clear, no coughing. ABD/UG: WNL. MS: Amb x 4, no lameness. Mild swelling right fore at carpus and proximal metacarpus, with small scabbing in this area. No pain on palpation, carpal joint WNL. INTEG: Pressure sores on hips bilaterally, dry, scabbing. Ventral thorax – several open wounds, dry with scabbing along the edges. A: Stable condition. Pressure sores due to previous poor houding. RF swelling – r/o cellulitis, infection, soft tissue injury, secondary to malnutrition, other. A: Continue current therapy. Start Clavamox 250 mg 1 PO BID x 7 days. Excellent prognosis.

Weight 36.0

A volunteer writes: Oh March!  How you had me at hello!  Those beady brown eyes staring at me, pleading for some lovin’ gets me every time.  But when I went to get March out of her kennel, she was hesitant.  Barking dogs, strange smells and new people all around leads March to feeling safer in her little den. And it’s clear that wherever she came from wasn’t good.  She has pressure sores on her bottom, she’s far too underweight and her coat hadn’t been washed in some time.  I picked her up—yes she’s that small that she can be easily carried like a baby—and took her to the yard. Outside she came out of her shell a bit.  March seems housetrained and once she found a sufficient spot to relieve herself, she eagerly propped herself up into my lap.  On subsequent walks (yes, I still had to carry her out of the center) her puppy side came out. At times she’ll get bouts of playfulness and prance around like a little pony.  She is interested in toys, but doesn’t know quite what to do with them yet.  She loves food and takes it gingerly, begging with those doe eyes for more.  My motherly instinct can’t help but to want to baby March each time I see her and I have a feeling you’ll feel the same way.  Ask to meet her today.

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