SANDY – 19596

SANDY – 19596

Care Center Location: Manhattan,  ZIP Code From: 10453, Intake Type: Owner surrender

Medical Behavior: Green, Age: 10 years, Sex: Spayed Female, Weight: 20 lbs

DVM Intake Exam; Estimated age: 10yrs; Microchip noted on Intake? none scanned; History : strong suspicion was owned, but was told p was a stray; Subjective: a little nervous when handled, could be because p is blind. Once placed on ground, was calm, walked, and ate canned food readily; Observed Behavior – no aggression, but fidgety; Objective ; P =unable to obtain; R = 30; BCS 8/9; EENT: OU mature cataracts with black corneal scarring, PLR’s intact, but no menace, ears clean, no nasal or ocular discharge noted; Oral Exam: mild to moderate focal tartar, oligodontia, difficult to assess, p mouth shy; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated but difficult to palpate deeply d/t high BCS of p; U/G: no palpable MGTs, underdeveloped nipples, spay scar visible, FS; MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, BCS 8/9, approx 6cm ovoid, dangling fleshy mass eminating from the caudal aspect of the L thigh, with some blood on the surrounding fur- tiny area was nicked; CNS: Mentation appropriate – no signs of neurologic abnormalities; Assessment; FS; OU cataracts, avisual; corneal scarring: r/o secondary to lagophthalmos; mass, with abrasion/ulceration either from contact or from vascularization of mass: r/o benign vs. malignant; obese; oligodontia with mild to moderate focal dental dz; Prognosis: open, depending on underlying cause of mass, whether p eats, and any underlying diseases; Plan: -offered canned food and ate well -requested cbc/chem/t4 as general health screen -cleaned off blood with chlorhexidine and H202 (to remove blood off fur), then applied quick stop to mass to prevent any restarting of bleed (left a yellow tinge to surface. After applied makeshift covering with telfa pad and tegaderm film (due to location was difficult to apply a covering that would prevent abrading and further bleeding) -move to medical to observe for rebleeding, and pending test results

 

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