NIKKI – A1094158

Manhattan Center

My name is NIKKI. My Animal ID # is A1094158.
I am a spayed female white and black yorkshire terr mix. The shelter thinks I am about 10 YEARS old.

I came in the shelter as a OWNER SUR on 10/20/2016 from NY 10467, owner surrender reason stated was OWNER SICK.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
10/22/2016 Exam Type OBSERVATION – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 17.2 LBS.

no vomit seen

10/20/2016 PET PROFILE MEMO
10/20/16 18:48 Basic information: Nikki is a roughly 10 yr. old Terrier mix. The Owner got her from the North shore animal league; he has owned Nikki for over 9yrs. The owner surrendered Nikki because the owner is sick and can no longer care for her. Nikki has a hypothyroid problem; she was diagnosed by a vet last year but has not been fully treated since. Socialization: Around strangers Nikki is friendly playful. Nikki has not lived with children but she is relaxed and playful around children and adults he does not know. Nikki has never bitten anyone. Behavior: The owner stats that Nikki is not bothered when some moves her food or treats while she is eating, when someone takes her toys away or when someone disturbs her while sleeping. Nikki likes to be brushed and given bathes but struggles when her nails are trimmed. When an unfamiliar person or animal approaches a family member or her home she approaches them in a friendly manor. The owner does not know how Nikki is around loud noises such as storms or fireworks. For a new family to know: The owner describes Nikki as friendly, affectionate and playful with a medium activity level. Her favorite activity is to walk outside with his owner. In the home Nikki tends to follow the owner around the house and is kept mainly indoors. Nikki sleeps in the floor of the bedroom on a blanket. Nikki was fed Pedigree wet dog food two times a day. She is house trained and rarely has an accident in the home, when outside she goes to the bathroom on or around trees and grass. For exercise Nikki is used to brisk walks on the leash and twice a day and does not pull on the leash. He is allowed to play off the leash in the dog park sometimes, he wanders off some to explore the surrounding are but comes back when called when off the leash. Behavior during intake: Nikki was relaxed with lose body, She allowed to be scanned (-), collared and placed in a dog kennel.

WEB MEMO
No Web Memo

BEHAVIOR EVALUATION 
No Behavior Summary

10/21/2016 GROUP BEHAVIOR EVALUATION 
Exam Type GROUP BEHAVIOR
10/21: When off leash with other dogs Nikki moves away when greeted and stays in a corner away from other dogs. 10/22: Nikki continues to exhibit these behaviors when off leash with other dogs.

10/20/2016 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
Sex: Female Scan: Negative Estimated age: 10 years as reported by previous owner Fleas: No flea dirt. Hx: Hypothyroid, has been on meds inconsistently. Medical records from Banfield were reviewed. Pt had an episode of not acting like herself about a year ago, and bloodwork was done that showed elevated total bilirubin. An ultrasound at that time showed a dilated biliary tree and gall sludge. Pt was admitted to ICU overnight. No followup is given in medical records. S: Quiet, alert, shivering, sternally recumbent, allows all handling O: BAR-H, BCS 5/9 but with significant fat pads on lateral thorax, MMs pink EENT: OD prolapsed gland of the third eyelid. Brown waxy discharge AU. Mild serous nasal discharge. Severe dental tartar, gingivitis and gingival recession. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Tense, rigid. M/S/I: Unclear if pt is ambulatory – did not stand during exam, even when body weight was supported in a standing position. Thin fur coat and hyperpigmented skin on trunk. Flaky fur coat on dorsal lumbar region, soft dermal nodule in this region with a large amount of surrounding waxy discharge. Large dried fecal ball in fur near anus (removed with clippers during exam) UG: Female A: 1. Hypothyroid – likely cause of thin fur and hyperpigmented skin 2. Severe dental disease 3. Cherry eye OD 4. Hx biliary disease, unclear if resolved or not 5. Mass on dorsal lumbar region – R/O sebaceous adenoma vs. other Short-term prognosis: Poor-guarded P: 1. Administered 1.8 ml pyrantel and Activyl for dogs 14-22 lbs during exam 2. Monitor to be sure pt can stand and walk, and that there is no vomiting. 3. Recommend the following after placement: CBC/chemistry, daily thyroid medication, dental cleaning, removal of dorsolumbar mass. Consider repair of cherry eye. 1088

10/21/2016 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
10/21/16 15:32 S: reportedly unable to stand walk, seen lying down in sternal recumbency, previously dx hypothyroidism per owner O: 4x ambylatory during PE bilateral 4/5 luxating patellas tense distended abdomen, nonpainful on palpation multiple fat depositions over trunk hypotrichosis, oily scale, sebacious adenomas A: hypothyroidism (likely cause of abnormal fat deposition &skin/coat condition) bilateral MPLs P: recommend CBC/CHem?UA/T4 +/- thyroid medication recommend wt loss 10/20 Sex: Female Scan: Negative Estimated age: 10 years as reported by previous owner Fleas: No flea dirt. Hx: Hypothyroid, has been on meds inconsistently. Medical records from Banfield were reviewed. Pt had an episode of not acting like herself about a year ago, and bloodwork was done that showed elevated total bilirubin. An ultrasound at that time showed a dilated biliary tree and gall sludge. Pt was admitted to ICU overnight. No followup is given in medical records. S: Quiet, alert, shivering, sternally recumbent, allows all handling O: BAR-H, BCS 5/9 but with significant fat pads on lateral thorax, MMs pink EENT: OD prolapsed gland of the third eyelid. Brown waxy discharge AU. Mild serous nasal discharge. Severe dental tartar, gingivitis and gingival recession. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Tense, rigid. M/S/I: Unclear if pt is ambulatory – did not stand during exam, even when body weight was supported in a standing position. Thin fur coat and hyperpigmented skin on trunk. Flaky fur coat on dorsal lumbar region, soft dermal nodule in this region with a large amount of surrounding waxy discharge. Large dried fecal ball in fur near anus (removed with clippers during exam) UG: Female A: 1. Hypothyroid – likely cause of thin fur and hyperpigmented skin 2. Severe dental disease 3. Cherry eye OD 4. Hx biliary disease, unclear if resolved or not 5. Mass on dorsal lumbar region – R/O sebaceous adenoma vs. other Short-term prognosis: Poor-guarded P: 1. Administered 1.8 ml pyrantel and Activyl for dogs 14-22 lbs during exam 2. Monitor to be sure pt can stand and walk, and that there is no vomiting. 3. Recommend the following after placement: CBC/chemistry, daily thyroid medication, dental cleaning, removal of dorsolumbar mass. Consider repair of cherry eye. 1088

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