MIKEY – A1107059

MIKEY – A1107059

**HIT BY CAR, Right femoral fracture**

MALE, BR BRINDLE / WHITE, PIT BULL MIX, 4 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition INJ SEVERE Intake Date 03/25/2017, From NY 11412, DueOut Date 03/28/2017,

Medical Behavior Evaluation GREEN
Medical Summary  ~4yrs, male. Scan neg. Hit by car  QARH. Attention seeking, allowed all handling P = wnl R = wnl BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Mild dental tartar/gingivitis, pink mm, chipped upper right canine PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male MSI: Reluctant to stand, walk, significant swelling of right hind thigh; ~2cm open skin laceration at right distal antebrachium at dorsal/medial aspect with mild swelling at carpus, abrasions at top of head, left flank and left side of prepuce — no other wounds or injuries noted, skin/coat otherwise healthy CNS: mentation appropriate – no signs of neurologic abnormalities Radiographs: complete comminuted fracture at middle right femur, no carpal fractures seen Assessment: Right femoral fracture, wound right antebrachium Plan: Administered hydromorphone 1.55ml IM, carprofen 2.7ml SQ and PPG 3.5ml SQ. Rec lower dose of hydro as dog was very sedate with 0.1mg/kg dose. Cleaned all wounds with nolvasan. Used ~1ml lidocaine to block area around wound, placed 2 cruciate knots with 2-0 PDS to close laceration. Rec hydro 1.2ml IM q12 x 5 days, rimadyl 75mg po q12 x 7 days, clavamox 437.5mg po q12 x 10 days. Rec surgical consult for fracture repair with placement. Good prognosis with appropriate treatment and care Temporarily waived from neuter due to injuries
Weight 68.2

RE-EXAM

03/28/17 : Monitor condition – post HBC, R femoral fracture. S/O: BARH. Eating/drinking well, active and social, loves attention. EENT: No oculonasal discharge. H/L: No coughing. MS: Amb x 3. Non-weight bearing lame R hind. Mod. non-pitting edema developing distal R hind limb. Mild soft swelling cranial R carpus. INTEG: All wounds clean, dry, scabbing.  Mild bruising ventral abdomen/inguinal region. A: Stable post HBC dog with femoral fracture. Edema developing R hind secondary to injury. P: Continue current therapy and monitoring. Good prognosis.

03/29/17 : Monitor condition – post HBC, R femoral fracture, wounds right carpus. S/O: BARH. Active, attention seeking, allows all handling.  Eating well, normal E/D/U/D. EENT:  Eyes clear, no ocular or nasal discharge. HL: No coughing or sneezing. MSI: Ambulatory x 3, Significant swelling of right thigh, with moderate non-pitting edema distally, bruising at inguinal region and prepuce; soft fluctuant swelling at right carpus, removed ~2.5ml of serosanguinous fluid, sutures in place, skin surrounding wound, especially laterally, turning dark and leathery (necrotic). A: HBC 3/25 – R femoral fracture with edema developing distally, laceration to right carpus – laceration healing well, seroma formed around carpus, necrosis of skin surrounding wound. P: Removed suture from carpus, drained seroma with 22g needle and syringe.  Continue with current treatment and monitoring plan.  Rec surgical fixation of fracture (repair vs amputation) in near future as circulation appears to be compromised in that limb.  Good prognosis with appropriate care

Group Behavior::

Mikey was surrendered as a stray, so his past behavior around dogs is unknown.

Due to Mikey’s current leg fracture, he is not a candidate for a dog-dog assessment at this time. All introductions to other dogs should be conducted slowly, allowing Mikey to interact at his own pace, and be under supervision.

 

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