SAFE 04/13/15 – MISSY – A1031655 – BROOKLYN, NY

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MISSY – A1031655

***AVERAGE HOME***

FEMALE, WHITE, LHASA APSO MIX, 10 yrs. STRAY – STRAY WAIT, NO HOLD Reason OWNER DIED.  Intake condition GERIATRIC Intake Date 03/29/2015, From NY 11216, DueOut Date 04/01/2015,

Medical Behavior Evaluation GREEN
Medical Summary Scanned negative QARH – uncomfortable with handling due to skin condition Female – unable to determine if intact due to skin condition Balding and rough patches on back, belly, around eyes inside and outside of ear, under “arms” Skin scrape shows no parasites Dribbles to pee, but bladder does not appear distorted or hard Activyl applied.
Weight 15.0

Missy is a sweet Lhasa Apso mix who was brought into BACC as a stray.  Missy has a large bladder stone that will require surgery to remove.  She also has some dermatitis, which has been improving with an anti-fungal medication and medicated baths.  Missy has been very social while in the shelter, always looking for some attention in her kennel, and did very well on her SAFER.  She seems pretty laid-back, and has the cutest under-bite!  Please help Missy get the medical care she needs!

MEDICAL:

4/6:

VC: BLADDER UROLITH, CONTINOUSLY STRANGURIC, URINE PASSING, BAR, APPETITE WNL, OFF HOLD TOMORROW, NEW HOPE READY TO SEEK PLACEMENT AS SOON AS HOLD IS UP

4/4: S/O:  Vet check for monitoring urine, large urolith and skin condition. Patient was resting comfortably in cage on presentation.  BAR, allowed handling. Bladder palpated small, urolith palpable. After palpation, patient urinated on blanket. Skin appears hyperkeratotic, especially periocularly and along pinnae, ventrum, medial hindlimbs, ventral tail, and paws.  Erythematous along caudal ventral area.  Alopecia present in thickened areas. Patient did not appear pruritic.

A: STABLE AT ACC on current treatment.

P:

1. Continue to monitor for urinary blockage
2. REC RESCUE FOR FULL WORK UP – DERM, SURGICAL
3. Continue Dermachlor baths q 2 weeks

4/1: STILL STRANGURIC, SMALL AMOUNT OF FREE CATCH URINE OBTAINED FOR SAMPLE

UA: 1028, PTN +++, lEUK ++, PH 6.5, RBC +++

CYTOLOGY- LARGE AMOUNT OF WBC,RBC, RODS (CONTAMINATION LIKELY), NO CRYSTALS

ABDOMINAL RADS:

LARGE, FINGER SHAPED URINARY BLADDER UROLITH

P:

CONTACTED NEW HOPE FOR PLACEMENT

RECOMMEND FULL PRE ANASTHETIC BLOOD WORK, CYSTOTOMY AND REMOVAL OF UROLITH

UNTIL THEN CONTINUE CURRENT THERAPY

FAIR PROGNOSIS POST CYSTOTOMY AND STONE REMOVAL

3/31:

S/O: BAR, EATING, FRIENDLY/NON AGRESSIVE, EENM: MM PINK AND MOIST, CRT 2 SEC, MODERATE GINGIVITIS AND CALCULI

CV: NO MURMURS OR ARRHYTHMIAS, LUNGS: CLEAR, ABD: SOFT AND NONTENDER, NO MASSES, COULD NOT PALPATE BLADDER, MS/INTEG: AMB X 4, BCS 5/9, GENERALIZED ALOPECIA WORSE ON FACE, VENTRUM, AND LATERAL REGIONS.  SKIN THICKEND/HYPERPLASTIC AND HYPERMELANOTIC.  AU BASE SKIN THICKENED AND HYPERPIGMENTATED.  OVERALL YEASTY ODOR. , NS: APPROPRIATE, PLN: SUBMADIBULAR AND POPLITEAL ENLARGED, GU: STRANGURIC, NO URINE EXPELLED, SKIN SCRAPE NEGATIVE 3/29, WILL SET UP FOR RADIOGRAPHS, JUST RECIEVED CONFIRMATION REGARDING USE OF XRAY MACHINE.

A:

GENERALIZED ALOPECIA, HYPERPLASTIC AND HYPERPIGMENTATED SKIN, YEASTY ODOR:  DDX ALLERGIES (FOOD/FLEA), ENDOCRINE (CUSHINGS, HYPOTHYROIDISM ECT), AUTOIMMUNE (PEMPHIGUS ECT) VS OTHER

MODERATE GINGIVITISI

STRANGURIC, NO URINE FOR SAMPLE, BLADDER SMALL: DDX UROLITHS/CRYSTALS, INFECTION/INFLAMMATORY, NEOPLASIA VS OTHER

P:

WILL SET UP FOR RADIOGRAPHS, JUST RECIEVED CONFIRMATION REGARDING USE OF XRAY MACHINE.

KETOCONAZOLE 200MG 1/4 TAB SID X 21 DAYS

BAYTRIL 68 MG- 1 TAB SID X 14 DAYS

DERMACHLOR BATHS 2 PER WEEK

SEEK PLACEMENT WITH NEW HOPE

GUARDED PROGNOSIS

Re-exam: 4/02

VET CHECK FOR LARGE UROLITH/NH PLACEMENT

TIMID BUT ALLOWS HANDLING

URINATED DURING EXAM- GOOD STREAM AND LARGE AMOUNT, YELLOW URINE

SEVERE DERMATITIS AS PREVIOUSLY  DESCRIBED 3/31/15

A; STABLE AT ACC

P; REC BATHING AS PLANNED, MONITOR FOR URINARY BLOCKAGE

REC RESCUE FOR FULL WORK U- DERM, SURGICAL

Re-exam: 4/03

S/O:  Vet check for monitoring urine, large urolith.

Patient was BAR in cage, very vocal.

Bladder palpated small, urolith palpable.

After palpation, patient urinated a small amount on blanket.  Several wet areas around cage – likely urine.

A: STABLE AT ACC

P:

1. Continue to monitor for urinary blockage
2. REC RESCUE FOR FULL WORK UP – DERM, SURGICAL

Re-exam: 4/04

S/O:  Vet check for monitoring urine, large urolith and skin condition.

Patient was resting comfortably in cage on presentation.  BAR, allowed handling.

Bladder palpated small, urolith palpable.

After palpation, patient urinated on blanket.

Skin appears hyperkeratotic, especially periocularly and along pinnae, ventrum, medial hindlimbs, ventral tail, and paws.  Erythematous along caudal ventral area.  Alopecia present in thickened areas.

Patient did not appear pruritic.

A: STABLE AT ACC on current treatment.

P:

1. Continue to monitor for urinary blockage
2. REC RESCUE FOR FULL WORK UP – DERM, SURGICAL
3. Continue Dermachlor baths q 2 weeks

Re-exam: 4/05

S/O:  Vet check for monitoring urine production.

Patient BAR, wagging tail on presentation

Small bladder palpated

When pressure applied, good stream of urine was produced.

P:

1. Continue to monitor

Re-exam: 4/06

VC: BLADDER UROLITH

CONTINOUSLY STRANGURIC, URINE PASSING, BAR, APPETITE WNL

OFF HOLD TOMORROW, NEW HOPE READY TO SEEK PLACEMENT AS SOON AS HOLD IS UP

Cage Exam: 4/07

SKIN MODERATELY IMPROVED, STILL HAS STRONG YEAST ODOR.  STRANGURIA IS THE SAME.  NEEDS CYSTOTOMY AND REMOVAL.

OFF HOLD 610 TONIGHT, WILL CONTINUE TO WAIT FOR PLACEMENT

Behavior: Average Home

SAFER:

Missy came in as a stray surrender so her past behavior in a home is unknown.  Upon intake it was noted that Missy was receptive to introduction and loose for all handling. She was also reported to walk well on leash and was responsive to guidance. During SAFER Missy was very relaxed when interacting with the assessor, and allowed all handling without issue. She was also relaxed during the tag interaction. Missy was not interested in the food or toy items, and only showed minimal interest in the rawhides.

Look: 1. Dog’s eyes are averted, with tail wagging and ears back. She allows head to be held loosely in Assessor’s cupped hands.

Sensitivity: 1. Dog stands still and accepts the touch, her eyes are averted, and her tail is in neutral position with relaxed body posture. Dog’s mouth is closed for at least a portion of the assessment item.

Tag: 1. Follows at end of leash, body soft.

Squeeze 1: 2. Dog quickly pulls back.

Squeeze 2: 1. Dog gently pulls back her paw.

Food: Inconclusive, dog is not eating.

Toy: 1. No interest.

Rawhide: 1. Minimal interest in rawhide, dog smells, then turns away.

Dog-dog: When off leash with other dogs, Missy does not interact with other dogs but is tolerant of the presence and will wander the yard.

Group Behavior: 4/06

When off leash with other dogs, Missy does not interact with other dogs but is tolerant of the presence and will wander the yard.

Facebook Main Thread:

https://www.facebook.com/photo.php?fbid=985219811490898

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