GONE – 04/07/15 – RALPH – A1031990 – BROOKLYN, NY
Gone 4-7-2015 Brooklyn
GONE – 04/07/15
RALPH – A1031990
**New Hope Only**
My name is RALPH. My Animal ID # is A1031990.
I am a neutered male tan and white golden retr mix. The shelter thinks I am about 11 YEARS old.
I came in the shelter as a STRAY on 04/02/2015 from NY 11210, owner surrender reason stated was STRAY.
MOST RECENT MEDICAL INFORMATION AND WEIGHT
04/04/2015 Exam Type VACCINATE – Medical Rating is 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 65.4 LBS.
No Final Exam
04/02/2015 PET PROFILE MEMO
4-2-15 2:03pm Dog is friendly and allows handling.
No Web Memo
04/04/2015 BEHAVIOR EVALUATION – NH ONLY
Exam Type BEHAVIOR
Helper: Only a partial assessment was conducted for Ralph due to his medical condition. Upon intake Ralph appeared to be friendly and allowed all handling. In addition, Ralph was observed receiving a medical exam and allowed all handling without restraint. He did not resist being handled while eating, and was easily pushed out of the food bowl. Ralph showed no interest in the toy or rawhide items on this poriton of the assessment. He approached the helper dog with very relaxed body langauage, but was not interested in play. Due to our inability to fully assess Ralph, we recommend a New Hope partner who can re-evaluate his behavior in a stable home environment. Food: 1. Dog lifts head and ceases eating when you reach to pull the bowl away or push him out. Toy 1: No interest. Rawhide: 1. No interest. Dog-dog: 2. Dog approaches helper dog with tail at spine level, body not stiff, ears relaxed, lip long or neutral.
GROUP BEHAVIOR EVALUATION
No Group Behavior Summary
04/03/2015 INITIAL PHYSICAL EXAM
Medical rating was 3 NC – MAJOR CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
scanned negative male neuetered 11 years old ~ physical exam eetn-no eye or nasal discharge -cloudy eyes -ears wnl -severe gingivitis skin-no fleas or ticks noted (activyl applied) -mass on right side of the face 5 cm x 3 cm(shaved and cleanned with nolvasan)0.6 ml telazol injected to clean the mass -escapular linph nodes enlarged, left axilar distal mass 2 cm and caudal ventral abdomen mass aprox 4 comx 2 cm allows ahndling, no sign of aggression but tense and nervous barh
Medical Exam 04/04
S/O: patient presented with possible wound over left neck region. Once patient had initial exam, wound area was clipped and cleaned to have a large, ulcerated, lobulated, firm dermal mass over left neck area. FNAs taken of masses while patient was sedated for initial exam. This morning, patient was QAR, resting in lateral recumbency on presentation. Once cage door opened, patient stood up and wagged tail.
mm= pink, moist, CRT < 2 sec
hydration = adequate
Integ = Moderate amount of underfur, several tufts of fur in hind area. Unkempt coat. Large mass (see descrioption above) approx. 3-4 cm in diameter. Several other masses discovered as follows: 1 large (approx. 5 cm in diameter), soft subcutaneous mass over the left axillary region; 1 round dermal mass (approx. 3-4 cm in diameter) with hypotrichosis at the caudal aspect of the proximal left forelimb, 1 round, soft mobile subcutaneous mass on ventral right abdomen (approx. 4 cm in diameter).
EENT = nuclear sclerosis, OU; thickened pinna with moderate amount of black debris AS, mod. black debris AD; moderate to severe gingivitis and calculus build up.
H/L = nma, nsr, pss; clear lung fields bilaterally
Abdomen = snp, no masses palpated, no organomegaly detected. Rectal exam revealed formed, firm stool, no abnormalities.
GU = Neutered male, no preputial discharge
CNS = appropriate
LN = wnl
MS = BCS: 5/9; amb x 4; slightly stiffened gait in hindlimbs; muscle wasting in hindlimbs.
1. Masses – r/o benign vs. malignant
2. dental disease
3. stiffened gait – r/o orthopedic (arthritis) vs. neurologic vs. other
4. Otitis externa
5. Thickened pinna – r/o chronic otitis vs. old hematoma area vs. other
1. FNAs of masses
Mass over left neck area shows several large granulated cells mixed with RBC and few WBC, cellular streaming, some multinucleated cells – recommend Clin Path consult for accurate diagnosis vs. excisional biopsy/mass removal.
Axillary mass and Abdominal mass show fatty debris – lipoma most likely
Caudal LFL mass shows several RBC with some fatty debris – lipoma likely
2. Recommend New Hope placement for full blood work + biopsy, +/- chest x-rays.
No RE-EXAM or CAGE-EXAM found
No detailed description for a visit type RE-EXAM or CAGE-EXAM found!
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