NINTENDO – 19058

NINTENDO – 19058

**NEEDS TRANSFER TO VET ASAP**

2 yr. male brown/white, stray, 42 pounds

DVM Intake Exam: Estimated age:2 y; Microchip noted on Intake?n; History : found in an alley >12 hours ago, unable to move; Subjective:; conscious, but unable to move, all four legs in extension, muscles fasiculations. eyes are able to move, minimal movement of head.; right front foot has paw pad abrasion (on pad ripped off). numerous puncture wounds on ventral neck, one noted left flank. Could be bites or “road rash”.; withdrawal absent. palpbral and plr intact.; reacts strongly to touch, cried out once.; Observed Behavior – conscious, fearful but hard to assess. cries occasionally; Evidence of Trauma seen -y; Objective ; T =101; P =60; R =wnl; BCS 5/9; EENT: Eyes clear, ears clean, no nasal or ocular discharge noted; Oral Exam:wnl; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G:2 testes; MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; CNS: see above: paraparesis, muscle fasiculations; radiographs of spine are wnl, except kyphosis; Assessment: open; ddz:  tetanus; spinal injury; distemper; rabies (highly unlikely); Prognosis:guarded; Plan:gave 2 me dexamethasone. 4.4ml pen g (300000iu/ml); monitor. recc transfer to emergency clinic. consider sedation; addendum: dog became agitated, trying to move, crying. Gave roughly 3mg midazolam IV until dog clamed down; chemistry obtained: 491 ALT, otherwise wnl; ddx for bloodwork: liver injury/disease –could be from physical blow or metabolic; SURGERY: Permanent waiver due to illness

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