MILES – A1118379

Manhattan Center

My name is MILES. My Animal ID # is A1118379.
I am a male brown beagle mix. The shelter thinks I am about 9 YEARS old.

I came in the shelter as a STRAY on 07/13/2017 from NY 11417, owner surrender reason stated was STRAY.

07/16/2017 AT RISK MEMO
A1118379 Miles is At Risk for medical reasons (please see exam below)

MOST RECENT MEDICAL INFORMATION AND WEIGHT
07/17/2017 Exam Type OBSERVATION – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 35.0 LBS.

Good appetite for soft food. Ate vienna sausage readily.

07/13/2017 PET PROFILE MEMO
07/13/17 16:50 Upon intake miles was handled by medical.

WEB MEMO
No Web Memo

07/16/2017 BEHAVIOR EVALUATION – NH ONLY
Exam Type BEHAVIOR
KNOWN HISTORY: None 7/13/17 Unaltered Male, Stray SAFER ASSESSMENT: 7/16/17 Summary: Due to his current medical condition, Miles is not an appropriate candidate for a SAFER assessment at this time. The behavior department believes Miles would benefit best from placement with a New Hope Rescue who can meet his needs medically and then assess behavior once she is in a stable environment. Force-free, reward based training is advised when introducing/exposing Miles to new and unfamiliar situations. Miles appears to be calm, he has allowed all handling in shelter without any issue. DOG-DOG INTERACTION ASSESSMENT: Summary PLAYGROUP: Summary INTAKE BEHAVIOR: MEDICAL BEHAVIOR: 7/13/17 During his initial medical exam, Miles was tense. ENERGY LEVEL: We have no history on Miles so we cannot be certain of his behavior in a home environment. RECOMMENDATIONS: New Hope Only _X_Place with a New Hope partner: Due to her current medical condition, Miles should be placed with a New Hope partner. who can meet his needs medically and then assess behavior once she is in a stable environment. Force-free, reward based training is advised when introducing/exposing Miles to new and unfamiliar situations.

GROUP BEHAVIOR EVALUATION 
No Group Behavior Summary

07/13/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: 8 yr Microchip noted on Intake none History : hit by car Subjective: stray Observed Behavior – shock Evidence of Cruelty seen – none Evidence of Trauma seen – yes Objective laterally recumbent, rousable P = tachycardic R = panting BCS 6/9 EENT: ears clean, no nasal discharge noted nuclear opacity OU Oral Exam: advanced dental disease, hyperemic gingiva PLN: No enlargements noted H/L: NSR,II/VI bilat Hm ( with whistle) CRT < 2, Lungs clear, short shallow breaths ABD: tense U/G: scrotal testes MSI: will not stand, complete displaced fx left radial /ulna medial left thigh lacerations/ abrasions skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment Plan CXR: no free air, brnchial pattern AXR: greatly enlarged stomach filled with ingesta and bones good serosal detail, bladder intact IV catheter left front 22 gauge, bolused 500ml saline, ran at 60ml/hr ppg 2ml sc hydromorphone 0.7ml IM chem: NSF- ALB 2.2, CA 7.7, K 3.2 reassessment after bolus: heart rate slower/normalized seems more comfortable and alert Prognosis: fair needs placement SURGERY: temporary waiver for sx due to injuries, held n vaccines, microchip implanation and deworming

07/15/2017 CAGE EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
07/15/17 08:54 S/O:hx: HBC with fx/displaced L radius/ulna, possible SI lux, skin wound L medial thigh with L hock swelling laterally recumbent, eupneic, bandage on L FL CDI offered food, not interested, possibly nauseous from hydromorphone L medial thigh moderate erythema around full thickness wound with scant pus H/L: grade 2 HM L systolic, no arrythmias A: MI HBC HM L FL radius ulna fx L HL- r/o fx vs soft tissue wound full thickness medial L thigh anemia- resolved as per PCV taken 7/14/17 mass L thorax r/o benign vs. other P: is on hydromorphone 2mg/ml: 0.8ml SQ BID x3 days –as per overnight staff p has been somewhat sedate, occassionally gets up and moves around, strained to defecate but was able to. Will decrease dose to 0.6ml SQ BID x3 gave cerenia 10mg/ml: 1.6ml SQ 9am for nausea cleaned wound with diluted chlorhexidine will not give AM dose of hydromorphone today check app wound may require debridement and closure if doesn’t improve 07/14/17 09:41 S/O: hx: HBC with fx/displaced L radius/ulna food all eaten in bowl BAR, friendly allows handling H/L: grade 2-3/6 L systolic HM, no arrythmia ABN: SNP M/S: PWB lame on L FL- modified robert jones bandage placed, mild swelling L HL around hock, painful when manipulated LH hip, approx 3cm SQ soft tissue mass on L lateral thorax- non painful open wound full thickness approx 3cm medial L thigh UROGEN: MI, both testicles descended and normal consistency A: MI HBC HM L FL radius ulna fx L HL- r/o fx vs soft tissue wound full thickness medial L thigh anemia- resolved as per PCV taken today mass L thorax r/o benign vs. other P: rimadyl 25mg: 1T PO BID x3 hydromorphone 2mg/ml: 0.8ml SQ BID x3 days simplicef 100mg: 1T PO SID x10days 2v L HL rads with sedation torb 10mgml: 0.6ml IM plus dexdomitor 0.5mg/ml: 0.15ml IM, reversed with 0.6ml atipamazole IM, slow to wake up—no obvious long bone fx in L HL, possible SI lux, lateral view appears as if may have possible pubic bone fx- not visible in VD PCV/TS:40/7 strongly rec ortho consultation with sx repair, consider wound repair if not healing on own rec cardio consult if possible prognosis: good with appropriate care

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