ELSIE – A1057865

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ELSIE – A1057865

***HIND END AND FACIAL PARALYSIS – NEEDS NEUROLOGIC WORK-UP ASAP ***

FEMALE, BR BRINDLE / WHITE, PIT BULL, 6 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition INJ SEVERE Intake Date11/14/2015, From NY 11208, DueOut Date11/17/2015

Medical Behavior Evaluation GREEN
Medical Summary SCAN NEGATIVE INTACT FEMALE APPROX. 6 YRS. BAR – VERY SWEET, TOLERABLE OF ALL HANDLING, VERY CALM, FRIENDLY BCS = 5-6/9 NON-AMBULATORY – PRESENTED IN STERNAL RECUMBENCY. UNABLE TO SUPPORT WEIGHT WITH HIND LIMBS. WHEN IN LATERAL RECUMBENCY, FRONT LIMBS ARE STRETCHED IN EXTENSION, BUT ABLE TO EASILY MOVE WITH PROM. NO PALPABLE FRACTURES DEEP PAIN PRESENT IN HIND LIMBS, APROPRIATE ANAL AND TAIL TONE RIGHT SIDED FACIAL PARALYSIS – UNABLE TO BLINK OD AS WELL AS DROOPED LIP ON RIGHT SIDE NO OTHER CRANIAL NERVE DEFICITS NO SIGNFICANT AURAL DISCHARGE SLIGHT PAIN DETECTED ON SPINAL PALPATION, APPROX. T3-L3 SLIGHT RESISTANCE TO NECK EXTENSION – NO OBVIOUS PAIN ON SIDE TO SIDE OR FLEXION. 2 VIEW THORACIC RADIOGRAPHS TAKEN – NO OBVIOUS SIGNS OF METASTASIS SPONDYLOSIS PRESENT IN THE THORACIC VERTEBRAE A: PARAPARESIS – R/O SPINAL TRAUMA (IVDD VS. CERVICAL SPONDYLOMYELOPATHY VS. MYELITIS VS. VERTEBRAL FRACTURE) VS. NEOPLASIA VS. OTHER FACIAL NERVE PARALYSIS – R/O FOCAL LESION (SECONDARY TO NEOPLASIA VS. TRAUMA) VS. OTHER PX: GUARDED P: RECOMMEND NEW HOPE PLACEMENT ASAP – NEEDS FURTHER NEUROLOGIC WORK UP, BLOOD WORK, POSS. ADVANCED IMAGING, STRICT CAGE CONFINEMENT AND PAIN MANAGEMENT, INCLUDING LIKELY STEROIDAL ADMINISTRATION. iF UNABLE TO FIND PLACEMENT, RECOMMEND EHR – PATIENT SHOULD NOT BE KEPT IN THE SHELTER IN DESCRIBED CONDITION. WILL CONTINUE PAIN MANAGEMENT – HYDROMORPHONE – 0.1MG/KG SQ BID
Weight 62.2

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