MAX – 10438
Safe - 10-27-2017 Manhattan
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SAFE 10/27/17
Hello, my name is Max. My animal id is #10438. I am a male white dog at the Manhattan Animal Care Center. The shelter thinks I am about 5 years old.
I came into the shelter as a owner surrender on 22-Oct-2017, with the surrender reason stated as person circumstance- moving – no pets allowed.
Max 10438 is at risk for his medical condition, including diabetes and hypothyroidism. Please see the veterinary notes for further details and clarification. Behaviorally, Max has allowed all handling in the care center and is recommended for an adopter with an average amount of dog experience.
My medical notes are…
Weight: 9.9 lbs
DVM Intake Exam
Estimated age: 5yrs
Microchip noted on Intake? Y- 985112005733297
History : owner surrender d/t moving- hx diabetes mellitus and hypothyroidism
Subjective: BAR
Observed Behavior – compliant, attention seeking
Evidence of Cruelty seen – N
Evidence of Trauma seen – N
Objective
T = DNP
P = WNL
R = WNL
BCS 6/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: mild dental tartar 1-2/4
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Neutered male MSI: Ambulatory x 4- grade 3/4 luxating patellas bilat, skin free of parasites, no masses noted, sparse hair coat with thinning / shave over dorsal midline CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: DNP Assessment: diabetes mellitus, hypothyroidism, Grade 3/4 MPLs bilat (R>L)
Prognosis: fair to good
Plan: Continue w/ medications as previously prescribed:
1) Thyro-tabs 0.2mg: 1/2 tab PO BID
2) Vetsulin 2 and 1/4 units SID? Need to clarify frequency of insulin vs. prescription label
SURGERY:
Permanent waiver due to already neutered.
Owner surrender, h/o diabetes and hypothryoidism; has been on vetsulin 2.5 U SID (PM) and thryotabs (0.1 mg PO BID); blood work available for review
CBC-mild neutrophilia
Chemistry-severe hyperglycemia (438), low creat (0.3), mildly elevated ALP (270), mild hypochloremia (104), low TT4 (0.6)
S/O
-great appetite
-BAR, adorable, friendly and docile; allows all handling
-mm pk, sl tacky; CRT <2 sec
-mild serous nasal discharge, no sneezing noted
-eupnic
-slightly pot bellied appearance, soft abdomen with no palpable abnormalities
-diffusely thin hair coat, especially along dorsum
A
Hypothryoidism
Diabetes mellitus
Thin hair coat-r/o hypothyroidism vs breed related
P
Vetsulin-start at 2 U SQ BID, has been getting 2.5 U SID at night (possibly due to owner’s schedule?)
Continue thyro-tabs at 0.1 mg PO BID
Recommend BG curve and repeat T4 in 10-14 days, may need to increase thyrotab dose eventually but may be falsely decreased due to uncontrolled diabetes at this time
Consider low dose dexamethasone suppression test to rule out concurrent cushing’s disease due to pot-bellied appearance (no indication on blood work)
prognosis: good with long term management
Details on my behavior are…
Behavior Condition: 1. Green
Max was very loose bodied he allowed me to collar and pick him up for an extended amount of time. He was licking me and would wag is tail if I approached him. He would plop down on the ground when he got tired during a walk and enjoyed being picked up and held.
Date of Intake: 10/22/2017
Spay/Neuter Status: Neutered
Basic Information:: Max is a male white small breed dog that is estimated to be 7 years old. He was brought to us when his owner was moving into a new home where pets weren’t allowed.
Previously lived with:: 1 Adult
How is this dog around strangers?: Max and friendly with strangers he will approach and greet them.
How is this dog around children?: Max did not spend much time with children in his previous home but he did feel comfortable around children what would come near him.
How is this dog around other dogs?: Max did not spend any time with dogs in his previous home.
How is this dog around cats?: Max lived with another cat for a few years when he was younger and got along with him.
Resource guarding:: Max is not bothered by having strangers go his food or toys.
Bite history:: Max has no history of having bitten another persona or animal.
Housetrained:: Yes
Energy level/descriptors:: High Enegry, Playful, Affectionate
Other Notes:: Max tends to bark at any noise he hears coming from the door outside. He is used to being indoors most of the time. He does not pull on the leash and will walk by your side.
Has this dog ever had any medical issues?: Yes
Medical Notes: Max has Diabetes and thyroid issues. Max has been to the vet in the past 2 weeks.
For a New Family to Know: Max is very energetic and playful he enjoys playing with his squeaky toys and will chase you around the house. He is very house trained and is also wee-wee pad trained.
Date of intake:: 10/22/2017
Spay/Neuter status:: Yes
Means of surrender (length of time in previous home):: Owner Surrender
Previously lived with:: An adult and a cat
Behavior toward strangers:: Friendly
Behavior toward children:: Comfortable with them
Behavior toward cats:: Got along with the cat he lived with
Resource guarding:: None reported
Bite history:: None reported
Housetrained:: Yes
Energy level/descriptors:: Max is described as playful and affectionate with a high level of activity.
Date of assessment:: 10/23/2017
Look:: 1. Dog’s eyes are averted, with tail wagging and ears back. Allows head to be held loosely in Assessor’s cupped hands.
Sensitivity:: 1. Dog stands still and accepts the touch, eyes are averted, and tail is in neutral position with a relaxed body posture. Dog’s mouth is likely closed for at least a portion of the assessment item.
Tag:: 1. Dog follows at the end of the leash, body soft.
Paw squeeze 1:: 1. Dog gently pulls back his/her paw.
Paw squeeze 2:: 1. Dog gently pulls back his/her paw.
Flank squeeze 1:: Item not conducted
Flank squeeze 2:: Item not conducted
Toy:: 1. No interest.
Summary:: Max approached the assessor in the assessment room with a soft body. He allowed all handling and displayed no concerning behaviors.
Date of intake:: 10/22/2017
Summary:: Max had a loose body and allowed handling.
Date of initial:: 10/22/2017
Summary:: Max allowed handling and sought attention.
ENERGY LEVEL:: Max’s previous owner described him as having a high level of activity. In the care center, he displays a medium activity level.
BEHAVIOR DETERMINATION:: AVERAGE (suitable for an adopter with an average amount of dog experience)
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