SIMZI – A1116115

SIMZI – A1116115

**SAFER: AVERAGE HOME**

FEMALE, WHITE / BLACK, SHIH TZU MIX, 7 yrs
STRAY – STRAY WAIT, HOLD FOR ID Reason STRAY
Intake condition EXAM REQ Intake Date 06/21/2017, From NY 11691, DueOut Date 06/24/2017,

Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: 7 years – cannot examine lenses due to extensive ocular pathology Microchip noted on Intake? yes History : found stray, no medical history Subjective: QAR, euhydrated, very long toenails and matting on the face Observed Behavior – nervous but allowed full exam Objective BCS 5/9 EENT: Marked mucopurulent discharge, corneal neovascularization and scarring OU, marked yeasty-smelling brown ceruminous discharge with calcification, lichenification and hyperplasia AU, no nasal discharge noted. STT 5 OS, 6 OD. Pinpoint fluorescein-positive ulcer OD. Oral Exam: limited, moderate dental tartar and gingivitis, malocclusion consistent with breed PLN: No enlargements noted H/L: NSR, NMA, strong synchronous pulses, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female, no spay scar seen, no vulvar discharge MSI: Ambulatory x 4, skin free of parasites, non-inflammatory alopecia on the chest, forelimbs, and back, possible calcinosis cutis on the dorsum; kyphotic with pendulous abdomen; matting around the eyes due to discharge CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: KCS OU, pinpoint corneal ulcer OD, chronic Malassezia otitis AU, possible Cushing’s, intact female, dental disease Plan: Start Optimmune OU BID for life, Neo-Poly-Bac OU BID x 10 days, Otibiotic AU BID x 14 days. Decline to start systemic anti-fungals without full bloodwork at this time. Ok for New Hope placement – may require surgical dental work and/or full workup for Cushing’s. Prognosis: good SURGERY: Permanent waiver due to age, possible systemic disease
Weight 13.0

BEHAVIOR:
KNOWN HISTORY: None
6/21/17
Unaltered female, stray
Previously lived with: Unknown

SAFER ASSESSMENT:
6/24/17
Look: 1. Dog leans forward or jumps up to lick the Assessor’s face with tail wagging, ears back and eyes averted.
Sensitivity: 1. Dog stands still and accepts the touch, her eyes are averted, and her 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: Item was skipped due to medical concerns.
Flank Squeeze 1&2: 1. Dog does not respond at all.
Toy: 1. No interest.
Summary: Simzi was friendly and social towards the assessor, she display no concerns.

PLAYGROUP:
When off leash with dogs at the Care Center, Simzi mostly keeps to herself in a group of small male and female dogs. She is tolerant of face to face greetings.

INTAKE BEHAVIOR
6/21/17: Simzi was calm and quiet upon intake. Allowed all handling.

MEDICAL BEHAVIOR:
6/22/17: Simzi was nervous but allowed full exam.

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

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