RAINBOW – A1101915

RAINBOW – A1101915

FEMALE, WHITE / TAN, CHIHUAHUA SH MIX, 6 yrs
STRAY – STRAY WAIT, HOLD RELEASED Reason STRAY
Intake condition GERIATRIC Intake Date 01/21/2017, From NY 11206, DueOut Date 01/24/2017,

Medical Behavior Evaluation YELLOW
Medical Summary scanned positive-0006B363BA Sex:female age:approximately 10 yrs BARH eayes:cloudy ear :clear nose:clear teeth:severe staining and tartar,gingivitis ear mites negative fleas negative tense,nervous,try to bite during examin ambx4 NOSF
Weight 6.0

RE-EXAM

01/22 : VC for poss MGT

BAR – very nervous but allowed full handling. Appetite OK.  No reported v/d/s/c. mm pink/moist. EENT: Moderate calculi throughout.  NND.  Ears clean.  OS mildly blepharospastic with mild mucoid discharge; OD WNL.  Fundic WNL OU. PLN WNL. H/L: Sinus arrhythmia; NMA. Abd SNP/NMP. Suspect inguianl hernia – large (2-3″) soft swelling at right inguinal region/near 5th caudal MG – contents of swelling are soft, rope-like and suspicious of loops of intestine with gas and some fluid within. Bilateral Grade II MPLs. No MGT palpated along chains. Severely overgrown nails x4; otherwise GHC

A: 5-7 yo F Chihuahua

1. Suspect inguinal hernia with intestinal entrapment – asymptomatic
2. Bilateral MPLs
3. Moderate dental disease
4. Severely overgrown nails – unlikely a stray

P: AXR to confirm hernia vs mass. Reco nail trim/dental. Reco placement ASAP for repair of hernia (if confirmed, vs removal of mass).  Risk of complications with intestinal entrapment. CTM for vomiting, diarrhea, lethargy, etc. With placement, reco orthopedic consult for MPLs and joint support for possible OA development.

ADDENDUM** Lateral abdominal rads confirm inguinal hernia with small intestinal entrapment – large portion entrapped. Continue current plan for placement + repair with monitoring for GI signs.

 

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