PATRON – A1113957

PATRON – A1113957

**NEEDS FOLLOW-UP MEDICAL – POSSIBLE OBSTRUCTION**NEEDS NEW HOPE PLACEMENT ASAP**

MALE, GRAY / WHITE, AM PIT BULL TER MIX, 4 yrs
OWNER SUR – EVALUATE, NO HOLD Reason PET HEALTH
Intake condition UNSPECIFIE Intake Date 06/02/2017, From NY 11213, DueOut Date 06/02/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam 6/2/17 Estimated age: ~4yrs, male Microchip noted on Intake? No History : Owner reports ~3week history of inappetance and vomiting Subjective: Observed Behavior – Q/BARH. Allows all handling, attention seeking. Offered small amount of canned food an ate readily, minimal interest when offered more. Drinking readily  Objective P = WNL R = WNL BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Moderate dental staining and wear, pink mm PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, burped/gagged after palpation U/G: Male MSI: Ambulatory x 4, skin free of parasites, no masses noted, few areas of collarettes, superficial pressure sore on right hind end, callouses at elbows CNS: mentation appropriate – no signs of neurologic abnormalities Radiographs: R, L, VD abdomen — distended gas filled intestines, very small amount of fecal material near rectum, decreased serosal detail in cranial abdomen; no obvious obstruction or foreign body Assessment: R/O gastroenteritis – dietary discretion vs infectious vs partial obstruction vs other Plan: Gave cerenia 2.7ml SQ, LRS 450ml SQ, metronidazole 500mg PO. Rec metronidazole 500mg PO q12 x 5 days. CBC/Chem scheduled for tomorrow Prognosis: Good SURGERY: Temporary waiver due to history of GI upset
Weight 59.2

RE-EXAM

06/03/17: S/O: QAR. Allows all handling.  Brighter than yesterday.  Shows some interest in food but barely eating. EENT:  Eyes clear, mild mucoid nasal discharge. ABD:  Allows palpation, appears uncomfortable near cranial abdomen; no vomiting or diarrhea, regurgitated small amount of brown foul smelling liquid after radiographs. INTEG: Few areas of collarets MS: Ambulatory x 4 UG: Male Repeat abdominal radiographs:  Two distinct gas distended bowel loops at left caudal abdomen, gas distended bowel loops at cranial dorsal abdomen, small amount of feces in descending colon and transverse colon. CBC shows mild neutrophilia (24.47K/uL) characterized by a mild to moderate neutrophilia (20.37K/uL) with bands suspected; mild regenerative anemia (33.3%) Chemistry shows a mild increase in ALT (140U/L) and moderate increase BUN (51.mg/dL), decreases in Ca (7.7mg/dL), Na (105mmol/L) and Cl (74mmol/L). A: R/O GI obstruction — appears stable at this time but owner reports GI signs have been apparent for 3 weeks. P: Will place IVC for fluid therapy.  Rec placement ASAP for abdominal U/S and likely abdominal exploratory. Fair prognosis with immediate and appropriate management and care.

PROFILE :

Patron is a 3 year old large gray unneutered dog. His owner got him from her downstairs neighbor and has had him for around 4-5 months. His owner states Patron suffers from constant ear wax buildup, ear mites, and his appetite has stopped for weeks. She has not sought veterinary care for these problems.

Around strangers, Patron will usually go right up to people and ask for attention by jumping up on them. He has lived with two children, ages 1 and 9, and he loves them to pieces and plays gently with them. He also lived with a 6 year old female Yorkie and he was very respectful of her and both loved to chase each other around the apartment and yard. Patron has not interacted with cats so his behavior around cats is unknown. Patron has not bitten another animal or person.

In the past two weeks, Patron has been having accidents indoors and his owner believes this is due to his declining health. Owner states before, Patron was house trained and would wait to be walked to use the bathroom. During thunderstorms and other loud noises, Patron is very relaxed and not bothered. He is not bothered by having his food bowl touched or having anything removed from his mouth. He enjoys being bathed, brushed, and having his nails trimmed. When strangers approach either the apartment or the yard, Patron will jump up and down asking for attention.

Patron is described as a friendly, affectionate, playful, and confident dog with a medium to high energy level. He loves to play around with a chew and squeaky toys or chase the children and other dog around. He loves to sleep in his crate, couch, and in the backyard. His owner was feeding him Blue Buffalo Wilderness dry and his favorite treats are milk bones. When his health was better, Patron was house trained and would use the bathroom on the cement during his walks. He is very well behaved when left alone in the yard or in the apartment. He is crate trained and loves to be in it. His favorite exercise is running around. His owner states that she would walk Patron off leash all the time and he stays very close by and always looks to see if his owner is nearby.

BEHAVIOR :

KNOWN HISTORY: Full profile

Unaltered Male, Owner surrender (Length in previous home)

Previously lived with: Adults, another dog(Yorkie) and children(ages 1 and 9 years old)

Behavior toward strangers: Friendly and outgoing

Behavior toward children: Playful and gentle

Behavior toward dogs: Playful and tolerant.

Behavior toward cats: Unknown

Resource guarding: None reported

Bite history: None reported

Housetrained: Yes

Energy level/descriptors: The owner stated Patron displays a medium to high activity level in the household.

Other notes:

SAFER ASSESSMENT:

Look:1. Dog holds gaze with soft eyes, soft body. He allows head to be held loosely in Assessor’s cupped hands. Dog holds gaze for three full seconds.

Sensitivity:1. Dog stands still and accepts the touch, his eyes are averted, and his tail is in neutral position with relaxed body posture. Dog’s mouth is likely closed for at least a portion of the assessment item.

Tag:1. Follows at end of leash, body soft, or low and a bit fearful.

Squeeze 1&2. Dog does not respond at all for three seconds. His eyes are averted and his ears are relaxed or back.

Toy: 1: No interest.

Summary: Patron was very friendly and affectionate towards the assessor.

DOG-DOG INTERACTION ASSESSMENT:

Summary

PLAYGROUP:

Pending….

INTAKE BEHAVIOR

Upon intake Patron was calm and friendly, he allowed all handling.

MEDICAL BEHAVIOR:

During his medical examination, Patron was friendly and attention seeking, he allowed all handling.

ENERGY LEVEL: Patron displays a medium to low activity level in the care center.

RECOMMENDATIONS: Average (suitable for an adopter with an average amount of dog experience)

 

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