TITANIUM – 9781
Safe - 10-21-2017 Manhattan
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SAFE 10/21/17
TITANIUM – 9781
8y; Tan Male 8lbs. Intake: Stray 10/14/17
Medical: 10/15 DVM Intake Exam; Estimated age: 8yrs; Microchip noted on Intake? none History : Subjective: eating well, allows all handling; Observed Behavior – allows all handling; Evidence of Cruelty seen -concerns of neglect; Evidence of Trauma seen -concerns of neglect, trauma; Objective P =120 R =24 BCS 4.5/9; EENT: Eyes clear, ears clean, no nasal or ocular discharge noted; Oral Exam: moderate tartar; PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: one testicle palpated, unable to palpate other testicle in groin area; MSI: Ambulatory x 4, skin free of parasites, no masses noted, fleas seen, pinnal tips- dark debris, AS- mild brown waxy debris and mild erythema, patchy erythema in medial FLs and ventral chest. Small spot of erythema on L hip and a line of alopecia and mild erythema along dorsal tail. Small approx. 0.5cm pink dermal mass on R muzzle; CNS: no CP deficits, but carries head low and to the R. No obvious pain, but doesn’t raise head, very stiff when attempt to manipulate head in all four directions, no obvious spinal pain, amb x4 but reluctant to walk, no circling, no vocalizing from pain. OU pupils symmetrical, no nystagmus; Rectal: perianal hernia- mild; Assessment; MI, unilateral cryptorchid; mild perianal hernia; carries head to the R and low (atypical head tilt): r/o atypical otitis interna/media, intracranial lesion, cervical lesion (mass, neoplasia, other), previous trauma to head/neck, other; underweight; fleas; AS: mild infection; dermal mass: r/o benign, other skin: r/o underlying allergies, other; Prognosis: fair- p is comfortable at this time; Plan: move to medical for monitoring neuro status; treated fleas ParaDefense; scheduled for ear cleaning; otibiotic AU BID x10 (no obvious d/c in AD, but in case of otitis interna/media causing head tilt); simplicef 100mg: 1/4 T PO SID x10 for possible otitis causing head tilt
A volunteer writes: This little guy defines ‘just do it’. He has medical issues, he walks with a tilt, has a hard time lifting his head, has some lumps on his body, but his tail wags, he loves to go for a walk, and he’s just not going to let a little thing like some medical problems slow him down. His tail wagged as we started out walk, he went potty right away, the vet told me he eats like a champ and he’s the true definition of ‘where there’s a will there’s a way’. He loved cuddling in my arms, and getting some love from other staff. When big dogs came near he had no reaction to them, just happy to share his space with any two legged or four legged creature. I fell in love with his spunk, his softness, his ability to not let anything get him down. When I put him back in his kennel, he drank some water and patiently waited for his dinner. If I could put him in my pocket and take him home I would. He won my heart big time. He’ll win yours too.
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