SAFE 04/01/15 COOKIE – A1031758

Pulled by Second Chance Rescue

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I am a male br brindle and white chow chow and pit bull mix. The shelter thinks I am about 1 YEARI came in the shelter as a OWNER SUR on 03/30/2015 from NY 10458, owner surrender reason stated was NO TIME.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
03/31/2015 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 47.4 LBS.

3/31 Easily handled dog . Sign on cage to hold up for 15 min after eating b/c of secondary effects of myasthenia gravis which is megaesophogas, then aspiration pneumonia. This dog is not coughing and this has not thought to happened in this case….rads will be taken with NH placement and full work up—neurologist suggested Neuro signs: tongue flops to side mildly, wierd higher pitched cry thought b/c laryngeal flap- flops to one side – very mild in this case by sound When walked slowly will walk – splays out in the hind quarters with too fast of a walk and if too excited A: Neuro clinical signs thought to be due to myasethenia gravis vs polymyositis, acute or chronic polyneuropathies. P: NH placement needed for Neuro case- myasathenia gravis most probable- Px can be good with treatment usually within 4-6 mos. Neuro consult needed Tx: hold up for 15 min sign after feeding placed Causes: inherited/congenital, Immune mediated or even paraneoplastic – work up should deterimine. ————————————————————————————– 3/30 scan negative S/O: Appearance: BARH Integument: Appropriate hair coat, normal nails EENT: OU clear, AU clean, No nasal d/c, stridor, esophageal gas palpable Oral cavity: MM pink, CRT <2sec, Healthy dentition PLN: WNL H/L: No murmur or arrhythmias, Lungs clear ABD: Soft non painful, U/G: male intact M/S: Amb x 4, ataxic x 4 BCS: 3/9 Neuro: ataxic x 4 NOSF A: Megaesophagus likely Peripheral neuropathy ddx; myasthenia gravis vs infectious vs neoplasia Prognosis fair with appropriate treatment P: Recc NH placement and additional diagnostics vs EHR

03/30/2015 PET PROFILE MEMO
DOG INFORMATION SHEET Where did this dog come from? My Home ORIGINAL SOURCE Gift Animal’s Name: Cookie WHY ARE YOU BRINGING THIS DOG IN? Other: cannot walk it outside RELATIONSHIP owned for 1 year PEOPLE Lives with 1_ adults Lives with _1 teenagers Lives with 2_ children Does he get along with children? Yes Does he get along with strangers? Yes Describe his behavior: quiet OTHER ANIMALS Can you describe his behavior around animals he doesn’t live with?tries to sniff and meet PERSONALITY Loves to play, is very active Likes to be petted, hugged ect. HABITS Eats dry food Eats whenever – there’s always food TRAINING Knows “sit” Has never been on leash Is housebroken Does this dog have any medical problems that you’re aware of? If yes, please provide as much detail as possible. it has been collapsing from its hind legs for 3 months now Is there anything that could be done to help you keep your dog? no What kind of home do you think would be best for this dog?where it will be loved

WEB MEMO
No Web Memo

BEHAVIOR EVALUATION 
No Behavior Summary

GROUP BEHAVIOR EVALUATION 
No Group Behavior Summary

03/30/2015 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
scan negative S/O: Appearance: BARH Integument: Appropriate hair coat, normal nails EENT: OU clear, AU clean, No nasal d/c, stridor, esophageal gas palpable Oral cavity: MM pink, CRT <2sec, Healthy dentition PLN: WNL H/L: No murmur or arrhythmias, Lungs clear ABD: Soft non painful, U/G: male intact M/S: Amb x 4, ataxic x 4 BCS: 3/9 Neuro: ataxic x 4 NOSF A: Megaesophagus likely Peripheral neuropathy ddx; myasthenia gravis vs infectious vs neoplasia Prognosis fair with appropriate treatment P: Recc NH placement and additional diagnostics vs EHR

03/31/2015 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
3/31 Easily handled dog . Sign on cage to hold up for 15 min after eating b/c of secondary effects of myasthenia gravis which is megaesophogas, then aspiration pneumonia. This dog is not coughing and this has not thought to happened in this case….rads will be taken with NH placement and full work up—neurologist suggested Neuro signs: tongue flops to side mildly, wierd higher pitched cry thought b/c laryngeal flap- flops to one side – very mild in this case by sound When walked slowly will walk – splays out in the hind quarters with too fast of a walk and if too excited A: Neuro clinical signs thought to be due to myasethenia gravis vs polymyositis, acute or chronic polyneuropathies. P: NH placement needed for Neuro case- myasathenia gravis most probable- Px can be good with treatment usually within 4-6 mos. Neuro consult needed Tx: hold up for 15 min sign after feeding placed Causes: inherited/congenital, Immune mediated or even paraneoplastic – work up should deterimine. ————————————————————————————– 3/30 scan negative S/O: Appearance: BARH Integument: Appropriate hair coat, normal nails EENT: OU clear, AU clean, No nasal d/c, stridor, esophageal gas palpable Oral cavity: MM pink, CRT <2sec, Healthy dentition PLN: WNL H/L: No murmur or arrhythmias, Lungs clear ABD: Soft non painful, U/G: male intact M/S: Amb x 4, ataxic x 4 BCS: 3/9 Neuro: ataxic x 4 NOSF A: Megaesophagus likely Peripheral neuropathy ddx; myasthenia gravis vs infectious vs neoplasia Prognosis fair with appropriate treatment P: Recc NH placement and additional diagnostics vs EHR