VICKY – A1100841

Vicky – A1100841

FEMALE, WHITE / BROWN, PIT BULL, 4 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition ILLNESS Intake Date 01/02/2017, From NY 11691, DueOut Date 01/05/2017,

***MUST LEAVE BY 4PM 01/03/17***

Medical Behavior Evaluation GREEN
Medical Summary microchip scan negative unaltered female approximately 4-5 yrs old BAR, dehydrated, pale MM EEN: WNL moderate dental tartar 41.8lbs; BCS: 1/5 emaciated has a great appetite distended abdomen, bloody dischagre from vulva minor pressure sores on forelimbs dirty hair coat on rear end shy and calm, allowed handling
Weight 41.8

01/02/17

Check injured/ill dog.

O: QARH. mm=lt pink, moist, CRT<2 s. Calm, allows all handling.

EENT: No oculonasal discharge.

H/L: Lungs clear, no coughing. Pulses strong, synchronous.

ABD/UG: Mod. abdominal distension. Soft, non-painful. Bloody/purulent vulvar discharge.

MS: Amb x 4. Emaciated body condition BCS=1/5.

INTEG: Bloody material dried on perineum, tail, hind legs.

A: Open pyometra. Emaciated body condition.

P: Place IV catheter, start IV LRS at 70 ml/hr.

Baytril 22.7 mg/ml 4.2 ml IM.

Procaine Pen G. 2.85 ml SQ

Good prognosis with appropriate surgical management.

Informed New Hope of dog and her condition.

microchip scan negative

unaltered female

approximately 4-5 yrs old

BAR, dehydrated, pale MM

EEN: WNL

moderate dental tartar

41.8lbs; BCS: 1/5 emaciated

has a great appetite

distended abdomen, bloody dischagre from vulva

minor pressure sores on forelimbs

dirty hair coat on rear end

shy and calm, allowed handling

01/03/17

Recheck exam

O: QAR. mm=pink, moist, CRT<2 s. No vomiting/diarrhea.Urinated large amount when walked outside this AM. Ate all food overnight, drinking well/polydipsic.

H/L: HR=120, RR=16. Lungs clear. No murmurs/arrhythmias.

ABD/UG: Distended abdomen, mod. bloody, purulent vulvar discharge.

MS: Amb x 4. Emaciated body condition.

A: Open pyometra. Clincally stable.

P: Continue IV LRS at 70 ml/hr.

Start oral Clavamox 250 mg 1 PO BID. First dose given.

Continue oral Baytril 68 mg 1.5 PO q 24 hours. Due this PM.

Awaiting new Hope placement today.

Good prognosis with appropriate therapy.

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