NALA – A1120153 

 

My name is NALA. My Animal ID # is A1120153.
I am a spayed female tan and white am pit bull ter mix. The shelter thinks I am about 9 YEARS old.

I came in the shelter as a OWNER SUR on 07/29/2017 from NY 10473, owner surrender reason stated was MOVE2PRIVA.

08/03/2017 AT RISK MEMO
Nala A1120153 is at risk due to CIRDC diagnosis.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
08/03/2017 Exam Type MS NEW URI – Medical Rating is 4 C – SEVERE CONDITIONS , Behavior Rating is NONE, Weight 82.0 LBS.

Hx: geriatric, osteoarthritis, severe aural hematom AS, healing wound on face; hematoma lanced yesterday but NPO overnight for anesthesia for full repair today S/O QAR, much less energy than yesterday mm pk, tacky; CRT <2 sec slightly mucoid nasal discharge expiratory cough OU-corneas appear dull with mucoid discharge AS-fluid pocket still present but much smaller than prior to draining; significant pinnal fibrosis wound on face healing well, edges opposed, mild fibronous discharge intermittent mild increase in inspiratory effort, quiet lung sounds diffusely A Ocular discharge-r/o KCS vs other CIRDC vs early pneumonia Otitis externa with hematoma/fibrosis Geriatric Osteoarthritis Wound P pulse oximetry: 86% d/c cephalexin Place IVC, gave 500 ml bolus, continue at 80 ml/hr Baytril 136 mg tabs: 3 tabs PO SID x 14 days cerenia 60 mg tabs: 1 tab PO SID x 5 days nebulization BID x 5 days would need sedation for CXR, consider performing tomorrow if any concerns if becomes inappetant, then can switch to injectable baytril, cerenia monitor pulse oximetry through day, if not improving or worsening, then consider transfer to referral hospital for further treatment Prognosis: fair to good; clinical signs of CIRDC came on very quickly overnight; because of this and her geriatric status, we are pursuing more aggressive supportive care with IVF

07/29/2017 PET PROFILE MEMO
07/29/17 12:54 Basic: Nala is a 9 year old large breed spayed dog that the owner has had since she was 3 months old. Nala was last at the vet about 3-4 years ago when she went to get spayed. Nala does have a hematoma of her left ear and some skin irritation but the owners have been self treating the issues. Socialization: Around strangers, Nala is described as extremely friendly and outgoing. Nala has lived with children ranging from newborns to 6 year olds and she is very relaxed around them. Nala plays very gently with children and adults. Nala has never lived or interacted with other dogs. Nala has never lived with cats but when stray cats pass by her yard, she tries to chase them and attack. Nala has never bitten or scratched another animal or a person. Behavior: During fireworks, Nala is not bothered. Nala is not bothered when her food bowl is touched while she is eating, when a bone is taken away from her, when toys are taken from her, when she is pushed off furniture, or when she is restrained for any given reason. Nala is okay with taking a bath and absolutely loves being brushed. When someone unfamiliar rings the doorbell, Nala barks and growls. When someone unfamiliar approaches the owner while Nala is there, she is not bothered. For a New Family to Know: Nala is described as very friendly and playful. Nala has a low level of activity and spends the time she is not playing, sleeping. The owner’s favorite thing about Nala is how independent and smart she is. Nala’s favorite thing to do is to run around in the yard. When the owner is at home, Nala likes to greet them but then stay in her favorite spot. Nala likes to play with balls. Nala has a free choice of being in or out, she uses the back door to stay in the yard and then when she comes in the house, she has her own room to stay in. Nala is free fed Pedigree dry food. Nala’s favorite treats are milk bones and beggin strips. Nala is extremely house trained and she uses the grass and cement when she goes out. When Nala is left alone in the house or yard, she is very well behaved. Nala knows how to sit, come, stay, go down, give paw, and get it. For exercise, Nala plays in the yard. Nala pulls very hard on a leash and stays close by when taken off leash. Upon intake, Nala allowed being collared, leashed, and having her picture taken. Nala was soliciting belly rubs and wagging her tail the entire time.

08/01/2017 WEB MEMO
A volunteer writes: A popular girl–Ms. Nala has already got that title here. She is a sweet elderly dame who has been all that a good dog is to her family. Nala lived with many children of all ages and is known to be friendly and outgoing with all. She would be loving, playful, well mannered, knows a number of commands and is very house trained. Nala never mingled with other dogs and was not fond of the neighborhood cats. She is glad to spend time with anyone who shows interest in her and follows slowly like a little lamb, not forgetting to do her business on the way. She let me clean her eyes. She accepts a bow and some treats. Milk bones and bacon strips are her favorite. So I will make sure to bring those at my next visit. Her left ear affected by a chronic hematoma is very sensitive and many sores affects her feet. Nala, although owning her own bedroom, spent a lot of time in her yard. Nala, the lioness, is a lovely dog who so deserves to spend her golden years well cared for, respected and loved. If you like older pooches, Nala might be just the one gem you have been looking for. Come and meet her soon at the Manhattan Care Center. Another volunteer writes: Before morning activities, I walked into Nala’s section and heard a soft snoring and traced it to her. Sound asleep, her soft snore is a gentle, sweet sound. Once Nala knew I was there, she came forward to be leashed, stepped carefully down from her kennel and navigated the stairs like a champ. Outside, she pottied immediately, and then put her face up, eyes closed, just to feel the sun on her face. We stood there for minutes as she felt the therapeutic morning sun, and then we moved on. She’s a slow, easy walker, her tail wags, and when we stopped at a door stoop to get to know one another, she showered me with kisses and big smiles. Nothing will get this girl down and I am head over heels in love with her. Even at intake, she rolled over for belly rubs.

08/01/2017 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
KNOWN HISTORY: Full Profile 7/29/17 Spayed, Owner Surrender (In previous home for nine years) Previously lived with: Adults and children (ages newborn to six years) Behavior toward strangers: Friendly and outgoing Behavior toward children: Relaxed Behavior toward dogs: Unknown Behavior toward cats: Attempts to chase stray cats in the yard Resource guarding: None reported Bite history: None reported Housetrained: Yes Energy level/descriptors: Nala is described as very friendly and playful with a low level of activity. SAFER ASSESSMENT: 8/1/17 Look: 1. Dog holds gaze with soft eyes, soft body. She allows head to be held loosely in Assessor’s cupped hands. Dog holds gaze for three full seconds. Sensitivity: 1. Dog leans into the Assessor, eyes soft or squinty, soft and loose body, open mouth. Tag: 1. Follows at end of leash, body soft. Flank squeeze 1: 1. Dog does not respond at all. Flank squeeze 1: 1. Dog does not respond at all. Toy: 1. Minimal interest, dog sniffs toy. Summary: Nala displayed no concerning behaviors on her assessment and was social throughout. Flank was used due to medical. DOG-DOG INTERACTION ASSESSMENT: Summary PLAYGROUP: 7/31: When introduced off leash to the male greeter dog, Nala does not approach. She allows the greeter to initiate greeting, and offers brief sniffing in response. She otherwise ignores further interaction and seeks handler attention. INTAKE BEHAVIOR Upon intake, Nala allowed all handling. MEDICAL BEHAVIOR: 7/29/17 During her initial medical exam, Nala was social and allowed all handling. ENERGY LEVEL: Nala’s previous owner described her as having a low level of activity. RECOMMENDATIONS: Average (suitable for an adopter with an average amount of dog experience) _X_ No cats (see owner profile)

07/31/2017 GROUP BEHAVIOR EVALUATION 
Exam Type GROUP BEHAVIOR
7/31: When introduced off leash to the male greeter dog, Nala does not approach. She allows the greeter to initiate greeting, and offers brief sniffing in response. She otherwise ignores further interaction and seeks handler attention.

08/01/2017 DVM INTAKE PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
DVM Intake Exam Estimated age: reported to be 9 years old; age consitent with exam Microchip noted on Intake? positive History : owner surrender because owners are moving Subjective: BAR Observed Behavior – appears friendly and interactive initially; growled when examining wound on face and growled when restrained Evidence of Cruelty seen – none Evidence of Trauma seen – wound on face Objective BCS 8/9 EENT: OU-corneas appear slightly dull; periocular erythema with mucoid discharge AS-severe fibrosis of pinna with large hematoma AD-moderate erythema, lichenification, yellow debris Oral Exam: mm pk, moist; CRT <2 sec; all teeth severely worn to the gingiva PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female spayed MSI: LF-grade I-II lameness, chronic thickening of elbow with dec extension severe chronic thickening of hocks, difficult to perform full evaluation due to temperament; nonpainful on palpation, suspect arthritis pruritus along dorsum with small staph collarettes along dorsum and flanks wound on R side of face, puncture with superficial laceration extending caudally; granulation tissue present along edges of wound with crusting bloody discharge but mild active hemorrhage, appears as though wound was approx 5-7 days old but was recently reopened small crusting wound on top of head CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment Dermatitis Wound-poss bite wound Ocular discharge-r/o KCS vs periocular dermatitis Otitis externa with chronic hematoma AS Overweight Lameness-suspect osteoarthritis of elbows and hocks Plan cephalexin 1000 mg PO BID x 10 days Rec’d sedate with radiographs of elbows, hocks and relieve hematoma-rec’d applying osurnia AU at that time Rec’d weight loss through dietary management for long term joint health Prognosis: fair to good; suspect chronic arthritis and chronic allergies which will require symptomatic treatment long term SURGERY: spayed

08/03/2017 MS NEW URI (LAST MAJOR EXAM)
Medical rating 4 C – SEVERE CONDITIONS ,
Hx: geriatric, osteoarthritis, severe aural hematom AS, healing wound on face; hematoma lanced yesterday but NPO overnight for anesthesia for full repair today S/O QAR, much less energy than yesterday mm pk, tacky; CRT <2 sec slightly mucoid nasal discharge expiratory cough OU-corneas appear dull with mucoid discharge AS-fluid pocket still present but much smaller than prior to draining; significant pinnal fibrosis wound on face healing well, edges opposed, mild fibronous discharge intermittent mild increase in inspiratory effort, quiet lung sounds diffusely A Ocular discharge-r/o KCS vs other CIRDC vs early pneumonia Otitis externa with hematoma/fibrosis Geriatric Osteoarthritis Wound P pulse oximetry: 86% d/c cephalexin Place IVC, gave 500 ml bolus, continue at 80 ml/hr Baytril 136 mg tabs: 3 tabs PO SID x 14 days cerenia 60 mg tabs: 1 tab PO SID x 5 days nebulization BID x 5 days would need sedation for CXR, consider performing tomorrow if any concerns if becomes inappetant, then can switch to injectable baytril, cerenia monitor pulse oximetry through day, if not improving or worsening, then consider transfer to referral hospital for further treatment Prognosis: fair to good; clinical signs of CIRDC came on very quickly overnight; because of this and her geriatric status, we are pursuing more aggressive supportive care with IVF

Generated on Aug 3 2017 6:00PM

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