RIGATONI – A1059094

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Manhattan Center

My name is RIGATONI. My Animal ID # is A1059094.
I am a male tan and white pit bull mix. The shelter thinks I am about 11 YEARS old.

I came in the shelter as a STRAY on 11/28/2015 from NY 10032, owner surrender reason stated was STRAY.

MOST RECENT MEDICAL INFORMATION AND WEIGHT
11/30/2015 Exam Type RE-EXAM – Medical Rating is 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS, Behavior Rating is NONE, Weight 60.4 LBS.

12/01/15 08:15 Old dog vestibular dz – much improvement – nystagmus has gotten much better since first day, now AMB x4 Housebroken – walks okay out for a walk and urinates with R leg raised L head tilt present, otoscopic exam clean canals, L typanic membrane thick waxy , dark brown plug n. sclerosis bilat heart murmrur L side grade 3/6 sebaceous adenomas – large one lower L eyelid, L thorax – pigmented black – Bx teeth – old broken A:vestibular resovling – workup needed for persisting head tilt – Baytril 100 inj started to r/o otitis media heart murmur black colored sebaceous adenoma – Bx to r/o neoplasia overwt A: Resolving old dog vestibular disease, head tilt persisting – r/o otittis media Starting Baytril 100 inj IM 2.7 cc SID 10 d NH placement needed plea to be sent – work up needed for geriatric with underlying connditions described above Fair Px

PET PROFILE MEMO
No Pet Profile Memo

12/01/2015 WEB MEMO
A volunteer writes: Now playing at our Manhattan Care Center…Rigatoni: Heart of Gold. This sweet senior’s underdog tale is just as inspiring as any ‘based on a true story’ blockbuster and staff and volunteers alike are all rooting for Rigatoni to be a smash hit this holiday season and for many years to come. Found inside a building and seemingly paralysed, he was rushed to ACC and brought into our medical bay where the news looked grim. Lethargic and unable or unwilling to move, Rigatoni was clearly in trouble but…with medication and TLC, perhaps there was hope? Day two of his recovery saw this brave boy walking again, albeit in circles, those coppery eyes shining bright with a curiosity echoed in his adorable head tilt. Everyone wanted to meet him, to hand feed him, to take him for a relief walk (Rigatoni is very house trained!) and before long he was a firm staff favorite, one of those dogs people coo at in the hallway and smile over in conversation. Though his head tilt remains, the circling walk is gone and Rigatoni meanders cheerfully down the street, sniffing here, peeing there and greeting every dog he sees with happy tail wags and a soft body. He poses for photos and enjoys butt rubs, accepts all handling like a zen master and might just be the most popular guy currently at the Care Center. No doubt about it, Rigatoni is a star. He has so much to teach us about love, acceptance and never giving up hope that tomorrow will be a brighter day and though he’ll always live on in the hearts of his fans, only you can give his epic tale of survival the happy ending it deserves.

12/01/2015 BEHAVIOR EVALUATION – AVERAGE
Exam Type BEHAVIOR
Rigatoni walks calmly on leash. He was sociable toward the handler during the assessment – soft body. He was calm and relaxed during handling. Rigatoni had a low body position during the tag test, but followed the assessor at the end of the leash. He was not interested in toys. Rigatoni did not show any concern during the behavior assessment. The behavior department feels that he can go to an Average home. Look: 2. Dog pulls out of Assessor’s hands each time without settling during three repetitions. Sensitivity: 1. Dog stands still and accepts the touch, his eyes are averted, and his tail is in neutral position with relaxed body posture. Dog’s mouth is likely closed for at least a portion of the assessment item. Tag: 1. Follows at end of leash, body low and a bit fearful. Squeeze 1: 1. Dog gently pulls back his paw. Squeeze 2: 1. Dog gently pulls back his paw. Toy: 1. No interest.

GROUP BEHAVIOR EVALUATION 
No Group Behavior Summary

11/28/2015 INITIAL PHYSICAL EXAM
Medical rating was 5 NC – SEVERE CONDITIONS NOT CONTAGIOUS, behavior rating was NONE
scan neg age – about 11 yrs by teeth male intact Hx: Older dog down in apartment building – owner did not surender, people who brought in said seizure, but seems dog is vestibular Mentation – vestibular/nystagmus/disorientation – aware of people around the dog – needsd to settle in the cage EENT- rotary nystagmus present, drooling, geriatric dentition with worn and broken teeth – mouth bloody gums from trauma possible- rubbed on floor / Ears cleanmild head tilt left – not thought to be otitis media in this case PLN: wnl H/L auscultate without any significant abnormalities Abd palp – tense, large abdomin – caudal abdomin tender may be b/c down inn the hind end b/c overwt pitbull disoriented/vestibular – does not rise at this time – wait to see when vestibular subsides M/S/I – non ambulatory at this time motor/sensory to hind end tail, and legs, lipomas in axillas, L eyelid sebaceous adenoma , BCS 7/9 overwt A:Old dog vestibular syndrome with rotary nystagmus vs. brain tumor with seizures drooling, trauma to gums, P: Seizure watch at ACC Treat to help resolve old dog vestibular syndrome:Cage rest, antinauseal medication (cerenia- given at exam), PPG (given at exam)for trauma to gums, cage cleaning with bowel movements Dog to rest at ACC for stray wait for owner to claim If condition worsens or seizures noted at ACC then EHR, no placement . If vestibular syndrome subsides and dog walks again after vestibular syndrome subsides then can seek placement. If condition stays the same then EHR. No vaccines given at intial to allow this dog resolve vestibular syndrome, can be done in few days

11/30/2015 RE-EXAM (LAST MAJOR EXAM)
Medical rating 4 NC – SEVERE CONDITIONS NOT CONTAGIOUS,
12/01/15 08:15 Old dog vestibular dz – much improvement – nystagmus has gotten much better since first day, now AMB x4 Housebroken – walks okay out for a walk and urinates with R leg raised L head tilt present, otoscopic exam clean canals, L typanic membrane thick waxy , dark brown plug n. sclerosis bilat heart murmrur L side grade 3/6 sebaceous adenomas – large one lower L eyelid, L thorax – pigmented black – Bx teeth – old broken A:vestibular resovling – workup needed for persisting head tilt – Baytril 100 inj started to r/o otitis media heart murmur black colored sebaceous adenoma – Bx to r/o neoplasia overwt A: Resolving old dog vestibular disease, head tilt persisting – r/o otittis media Starting Baytril 100 inj IM 2.7 cc SID 10 d NH placement needed plea to be sent – work up needed for geriatric with underlying connditions described above Fair Px

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