PRENNIE – A1052599

Brooklyn Center 

My name is PRENNIE. My Animal ID # is A1052599.
I am a female white and tan shih tzu. The shelter thinks I am about 5 YEARS old.

I came in the shelter as a STRAY on 09/24/2015 from NY 11417, owner surrender reason stated was PET HEALTH.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
09/26/2015 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 14.4 LBS.

VET CHECK – MONITOR CONDITION, PARALYZED IN HIND END BAR. APPETITE OK. LARGE AMOUNT OF BLOOD STAINED URINE ON BEDDING, NO FECES OBSERVED SITTING UP, DRAGGING HIND END. A: HIND END PARALYSIS – RULE OUT IVDD VS PELVIC FRACTURE VS NEOPLASIA VS OTHER R/O UTI VS OTHER P: CONTINUE WITH CURRENT TREATMENT AND MONITORING PLAN. NEEDS NEW HOPE PLACEMENT CONSIDER EHR IF CONDITION DECLINES 9/24/15… Scan: negative S/O: Calm and easily handled Appearance: BARH Integument: Intact hair coat, blood staining on hind end, normal nails EENT: OU clear, cherry eye OD, AS clean, AD maloderous debris, No nasal d/c Oral cavity: MM pink, CRT <2sec, mild dental tartar PLN: WNL H/L: No murmur or arrhythmias, Lungs clear ABD: Soft non painful, no palpable abnormalities U/G: female intact, bloody vulvar discharge with no prulent discharge M/S/Neuo: Amb x 2, dragging back hind limbs, weak motor to both hind limbs when supported, tone present when dog is supported but cannot support his own weight, absent CPs in hind limbs, absent anal tone, no apparent neck or back pain, no pain on pelvic palaption BCS: 5/9 Rectal: absent anal tone, large amount of feces palpable in hind end A: hind limb paresis-r/o pelvic fractures vs. IVDD vs. spinal tumor vs. other absent anal tone Ear infection AD Cherry eye OD P: Patient has severe hind limb paresis with absent anal tone. Very likely pelvic fracture with injury to anal and urinary sphincter muscles. THIS DOG WILL NOT LIKELY REGAIN FECAL CONTROL, MAY ALWAYS DROP FECES WITHOUT BEING AWARE OF IT, MAY NEED LIFELONG BLADDER EXPRESSION BY OWNER 4-6 TIMES DAILY, IF PELVIC FRACTURE DOG MAY REQUIRE SURGICAL CARE OR SEVERAL MONTHS OF CONFINEMENT BUT ABILITY TO CONTROL URINATION AND DEFECATION WILL STILL NOT RETURN, THIS LACK OF URINARY CONTROL WILL LEAD TO HIGH POSSIBILITY OF CHRONIC RECURRENT URINARY TRACT INFECTIONS LEADING TO EVENTUAL KIDNEY DAMAGE, THERE IS A POSSIBILITY OF BEING ABLE TO WALK AGAIN ONE DAY BUT IF NOT WILL NEED A CART WHICH INCREASED RISK OF PRESSURE SORES AND WOUNDS, cherry eye requires surgical correction, will start mometamax for ear infection and buprenorphine in case of any acute pain.

09/24/2015 PET PROFILE MEMO
09/24/15 13:06 Prennie came in as a stray. She did not have use of her hind legs. She allowed to be picked up, scanned, and collar. She did not gorwl, bark, or bare teeth.

WEB MEMO
No Web Memo

BEHAVIOR EVALUATION 
No Behavior Summary

GROUP BEHAVIOR EVALUATION 
No Group Behavior Summary

09/24/2015 INITIAL PHYSICAL EXAM
Medical rating was 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
Scan: negative S/O: Calm and easily handled Appearance: BARH Integument: Intact hair coat, blood staining on hind end, normal nails EENT: OU clear, cherry eye OD, AS clean, AD maloderous debris, No nasal d/c Oral cavity: MM pink, CRT <2sec, mild dental tartar PLN: WNL H/L: No murmur or arrhythmias, Lungs clear ABD: Soft non painful, no palpable abnormalities U/G: female intact, bloody vulvar discharge with no prulent discharge M/S/Neuo: Amb x 2, dragging back hind limbs, weak motor to both hind limbs when supported, tone present when dog is supported but cannot support his own weight, absent CPs in hind limbs, absent anal tone, no apparent neck or back pain, no pain on pelvic palaption BCS: 5/9 Rectal: absent anal tone, large amount of feces palpable in hind end A: hind limb paresis-r/o pelvic fractures vs. IVDD vs. spinal tumor vs. other absent anal tone Ear infection AD Cherry eye OD P: Patient has severe hind limb paresis with absent anal tone. Very likely pelvic fracture with injury to anal and urinary sphincter muscles. THIS DOG WILL NOT LIKELY REGAIN FECAL CONTROL, MAY ALWAYS DROP FECES WITHOUT BEING AWARE OF IT, MAY NEED LIFELONG BLADDER EXPRESSION BY OWNER 4-6 TIMES DAILY, IF PELVIC FRACTURE DOG MAY REQUIRE SURGICAL CARE OR SEVERAL MONTHS OF CONFINEMENT BUT ABILITY TO CONTROL URINATION AND DEFECATION WILL STILL NOT RETURN, THIS LACK OF URINARY CONTROL WILL LEAD TO HIGH POSSIBILITY OF CHRONIC RECURRENT URINARY TRACT INFECTIONS LEADING TO EVENTUAL KIDNEY DAMAGE, THERE IS A POSSIBILITY OF BEING ABLE TO WALK AGAIN ONE DAY BUT IF NOT WILL NEED A CART WHICH INCREASED RISK OF PRESSURE SORES AND WOUNDS, cherry eye requires surgical correction, will start mometamax for ear infection and buprenorphine in case of any acute pain.

09/26/2015 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
VET CHECK – MONITOR CONDITION, PARALYZED IN HIND END BAR. APPETITE OK. LARGE AMOUNT OF BLOOD STAINED URINE ON BEDDING, NO FECES OBSERVED SITTING UP, DRAGGING HIND END. A: HIND END PARALYSIS – RULE OUT IVDD VS PELVIC FRACTURE VS NEOPLASIA VS OTHER R/O UTI VS OTHER P: CONTINUE WITH CURRENT TREATMENT AND MONITORING PLAN. NEEDS NEW HOPE PLACEMENT CONSIDER EHR IF CONDITION DECLINES 9/24/15… Scan: negative S/O: Calm and easily handled Appearance: BARH Integument: Intact hair coat, blood staining on hind end, normal nails EENT: OU clear, cherry eye OD, AS clean, AD maloderous debris, No nasal d/c Oral cavity: MM pink, CRT <2sec, mild dental tartar PLN: WNL H/L: No murmur or arrhythmias, Lungs clear ABD: Soft non painful, no palpable abnormalities U/G: female intact, bloody vulvar discharge with no prulent discharge M/S/Neuo: Amb x 2, dragging back hind limbs, weak motor to both hind limbs when supported, tone present when dog is supported but cannot support his own weight, absent CPs in hind limbs, absent anal tone, no apparent neck or back pain, no pain on pelvic palaption BCS: 5/9 Rectal: absent anal tone, large amount of feces palpable in hind end A: hind limb paresis-r/o pelvic fractures vs. IVDD vs. spinal tumor vs. other absent anal tone Ear infection AD Cherry eye OD P: Patient has severe hind limb paresis with absent anal tone. Very likely pelvic fracture with injury to anal and urinary sphincter muscles. THIS DOG WILL NOT LIKELY REGAIN FECAL CONTROL, MAY ALWAYS DROP FECES WITHOUT BEING AWARE OF IT, MAY NEED LIFELONG BLADDER EXPRESSION BY OWNER 4-6 TIMES DAILY, IF PELVIC FRACTURE DOG MAY REQUIRE SURGICAL CARE OR SEVERAL MONTHS OF CONFINEMENT BUT ABILITY TO CONTROL URINATION AND DEFECATION WILL STILL NOT RETURN, THIS LACK OF URINARY CONTROL WILL LEAD TO HIGH POSSIBILITY OF CHRONIC RECURRENT URINARY TRACT INFECTIONS LEADING TO EVENTUAL KIDNEY DAMAGE, THERE IS A POSSIBILITY OF BEING ABLE TO WALK AGAIN ONE DAY BUT IF NOT WILL NEED A CART WHICH INCREASED RISK OF PRESSURE SORES AND WOUNDS, cherry eye requires surgical correction, will start mometamax for ear infection and buprenorphine in case of any acute pain.

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