BANIA – A1045956
Safe 8-10-2015 Manhattan
***NEEDS EMERGENCY VET CARE ASAP – POSSIBLE FOREIGN BODY***
BANIA – A1045956
***NEEDS EMERGENCY VET CARE ASAP – POSSIBLE FOREIGN BODY***
**SAFER: AVERAGE HOME**
NEUTERED MALE, GRAY / WHITE, AMERICAN STAFF MIX, 10 mos
OWNER SUR – EVALUATE, HOLD FOR ID Reason PET HEALTH
Intake condition EXAM REQ Intake Date 07/30/2015, From NY 10024, DueOut Date 07/30/2015,
Medical Behavior Evaluation GREEN
Medical Summary 07/31/15 09:29 S/O: may have eaten a piece of tile, has been bleeding from prepuce Appearance: BARH Integument: Appropriate hair coat, normal nails, no other signs of bleeding EENT: OU clear, AU clean, mild serouns nasal d/c Oral cavity: MM pale pink, CRT <2sec, Healthy dentition PLN: WNL H/L: No murmur or arrhythmias, Lungs clear ABD: Soft non painful, no masses palpated U/G: male neutered, dried blood on tip of prepuce M/S: Amb x 4 BCS: 5/9 Neuro: NSF NOSF, rectal temp 100.2 F A: Bleeding from prepuce: UTI vs. bladder stones vs. trauma vs. clotting disorder (rat poison vs. von wil vs. less likely hemophilia) vs. neoplasia vs. other P: Transfer to brooklyn for abdominal rads Run CBC/Chem Recommend PT/PTT to test for clotting disorder (not available here) — especially due to history of “eating a piece of tile” recently
A volunteer writes: Who’s ready for a sleek, stunning, friendly, easy to be with pup? Mature and well behaved beyond his age, I met Bania while he was hooked up to an IV in the vet’s office as he had been lethargic and vomiting with some undiagnosed ailment. His person tells us that he may have eaten something “unauthorized”, and now that it’s passing through him he’s getting better. He was amazingly calm and easy as the vet unhooked his IV so that I could take him out, and he went potty as soon as we were out the door. A short walk to demonstrate his lovely leash manners, and then wiggly snuggles with people who wanted to meet him. As other dogs pass he ignores them, looking instead at the treat in my hand for which he sits. Running my hands over his fur is like touching the softest velvet. His lab like ears frame his soft grey eyes which make sweet eye contact as he poses for some pictures. He’s a hit with everyone he meets as his soft personality and easy going nature make him an easy companion. When it was time to go back inside he hopped into his kennel without issue, turned and gave me a kiss. Stunning inside and out does not begin to describe this sweet puppy….come meet him and see for yourself.
bleeding from penis, frank blood. QAR, very amenable to handling. small amount of purulent d/c seen coming from nose; gums pink, OS penis doesnt feel broken. Needs rads of abdomen; set up transport to brooklyn; Clavxmox 375 mg bid x 10d; rimdayl 50mg bid x 10d; spoke to RDVM who saw him 1 week ago for bleeding from prepuce: she said urine had no blood (via cysto) and bladder ultrasound showed no stones; she did not culture urine or radiograph
vomited today once; BAR; not bleeding today; open daignosis at this point; CBC never run–added to tech check list; add cerenia once 2.9ml
BARH. ATTENTION SEEKING, ALLOWS ALL HANDLING. BCS 5/9; MILD DENTAL TARTAR, MM MOIST, CRT >2SC, EYES CLEAR, NO OCULAR DISCHARGE, MILD MPND; NORMAL THORACIC AUSCULTATION; NORMAL ABDOMINAL PALPATION – SOFT, NON-PAINFUL; INTEG WNL; AMBULATORY X 4; NEUTERED MALE, THIN BLOOD TINGED FLUID AROUND PENIS, EXTRUDED PENIS, APPEARS WNL; (REPORTED TO HAVE URINATED JUST PRIOR TO ARRIVAL, NO STRAINING, SLIGHTLY DARK URINE)
RADIOGRAPHS: LATERAL AND VD ABDOMEN – SMALL AMOUNT OF MINERALIZATION IN STOMACH, INTESTINES WNL, BLADDER WNL, NO STONES SEEN IN BLADDER/URETHRA/KIDNEYS, OS PENIS WNL NSF
A: RULE OUT MINOR TRAUMA VS LESS LIKELY UTI VS OTHER; MINERALIZATION IN STOMACH CONSISTENT WITH HISTORY OF EATING TILE – MINIMAL CONCERN
P: ADDING DOXYCYCLINE 300MG PO Q24 X 10 DAYS TO TREATMENT PLAN. CONTINUE TO MONITOR WHILE AT ACC. GOOD PROGNOSIS
dog bar; mucoid bloody stool, observed defecating blood, blood also seen in cage; urine clear, normal; worried expression; discontinue rimadyl; discontinue doxy; continue clavamox; begin injectable rimadyl if needed, young animal; cbc today; begin lrs; repeat rads needed, continued monitoring / eval; appears stable at the moment; reportedly had xrays via acc with evidence of foriegn body; reported history of foriegn body (tile) ingestion and chronic abdominal pain for 2 weeks since ingestion
Observation: pcv by hand: 35%
PARAMETERS RESULTS REFERENCE RANGES
RBC 2.55 M/ul 5.0-10
HCT 16.6 % 30-45
HGB 6.1 g/dl 9.0-15.1
MCV 65 fL 41-58
MCH 23 pg 12-20
MCHC 36.7 g/dl 29.0-37.5
RDW 14.9 % 17.3-22
%RETIC 3 %
RETIC K/uL 3.0-50.0
WBC 32.88 K/uL 5.5-19.5
%NEUT 77.3 %
%LYM 9.5 %
%MONO 12.7 %
%EOS 0.3 %
%BASO 0.2 %
NEUT 25.43 K/uL 2.5-12.5 bands suspected
LYM 3.11 K/uL 0.4-6.8
MONO 4.19 K/uL 0.15-1.7
EOS 0.1 K/uL 0.1-0.79
BASO 0.05 K/uL 0.00-0.10
PLT 45 K/uL 175-600
MPV 11.1 fl
PDW 16.8 %
PCT 0.05 %
08/02/15 18:20 Bloodwork abnormal: anemia **hand pcv 35%, nuetrophilia, Suggestive of infection, gums pink/red, no pallor, crt < 2s, giving sq fluids, dog ambulatory, catheder not good before, feces without blood observed in kennel, no pain on abdominal palpation, adding baytril 5 mg/kg im sid x 5 d, adding metronidazole 10 mg/kg po bid x 5 d
08/02/15 10:47: dog bar, parvo snap negative, mucoid bloody stool, observed defecating blood, blood also seen in cage, urine clear, normal, worried expression, discontinue rimadyl, discontinue doxy, continue clavamox, begin injectable rimadyl if needed, young animal, cbc today, begin lrs , repeat rads needed, continued monitoring / eval, appears stable at the moment,
reportedly had xrays via acc with evidence of foriegn body
reported history of foriegn body (tile) ingestion and chronic abdominal pain for 2 weeks since ingestion
staff working to determine rts status of dog and seek help from new hope
08/03/15 11:01: place iv catheder at 11:30 when tech arrives to assist, run fluids at 80 ml/hr for 4 hours and retake temp. continue to seek new hope placement. dog’s behavior is very sweet, house broken, trained to crate- readily goes into cage, easily, volutarily eager for attention/ petting, quiet demeanor- no bark
08/03/15 10:07: Temp 104.07 F, Pink mm;s, CRT<2, Fair pulses, normal rhythm, Somewhat dull, No abdominal pain, Blood-tinged feces on rectal, parvo test negative
A: Consider gastroenteritis vs HGE vs salmonellosis vs parasitism
P: continue met, baytril, lrs, consider fecal, perform parvo test, consider repeat blood work
08/03/15 11:01: place iv catheter at 11:30 when tech arrives to assist, run fluids at 80 ml/hr for 4 hours and retake temp. continue to seek new hope placement.
CHANGED FLUID RATE TO 40 ML/HR (MAITENECE
SEMI-SOLID FECES WITH NO BLOOD OBSERVED TODAY
GREAT APPETITE, NO ABDOMINAL PAIN
BETTER HYDRATED, TEMP DESCENDING
STABLE AT THIS TIME, CONTINUE TO MONITOR
RESPONDING TO MEDICAL TREATMENT OF UNKNOWN FEVER, HEMATURIA, BLOODY DIARRHEA
CONTINUE TO MONITOR IN MEDICAL
08/04/15 09:53: Dull, Pale-pink, Fair pulses, Normal cardiac rhythm, CRT= 3 s, Blood tinged diarrhea in cage
A: Hypovolemic, Diarrhea
P: 400 ml Bolus, incr. fluid rate to 100 ml/hr. PE parameters improved after bolus
08/05/15 09:52: BAR, walks well on a lead, pink mm, Eating well , semiformed stool – On walk small amount of blood, Abdominal palpation wnl
A: resolving diarrhea
P: Okay to move to Adoptions holding with medical is aware of forming stool
diagel given PO
LRS SC given, Tramadol 50 mg PO BID 7days for possible recovering from mild pancreatitis, Monitor for forming stool
Profile: 07/30/15 21:06
This dog was brought in by the son of the owner. The owner is currently out of the country. The son had limited information on the dog. The dog has had some medical issues over the past 2 weeks. The dog has been seen by a vet but there was no official diagnosis given.
Behavior During Intake: The dog was a little lethargic during intake. He was friendly but did not have a lot of energy. The dog had some spotty bleeding during intake. He allowed me to photograph him as well as put a collar on him.
Bania walks calmly on leash. He was calm and relaxed during handling. Bania was calm and relaxed when playing tag with assessor. He did not resist being handled while eating, and was easily pushed out of the food bowl. Bania was not interested in toys but took the rawhide away with a soft body language. He was relaxed when approaching a friendly dog, but was not playful.
Bania did not show any concern during the behavior assessment. The behavior department feels that he can go to an Average home.
Look: 1. Dog holds gaze with soft eyes, soft body. He allows head to be held loosely in Assessor’s cupped hands. Dog holds gaze for three full seconds.
Sensitivity: 1. Dog stands still and accepts the touch, his eyes are averted, and his tail is in neutral position with relaxed body posture.
Tag: 1. Follows at end of leash, body soft, wagging tail, open mouth.
Squeeze 1: 1. Dog does not respond at all for three seconds.
Squeeze 2: 1. Dog does not respond at all for three seconds.
Food: 1. Dog lifts head and ceases eating when you reach to pull the bowl away
Toy: 1. No interest.
Rawhide: 1. Dog settles close, keeps a firm grip and is loose and wiggly. He does not place his body between you and the rawhide.
Dog – dog: 1. Dog approaches the helper, soft body, tail neutral, but not playful.
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View all entries in: Safe Dogs 2015-08