GONE 04/12/15 – BRONX – A1032708 – MANHATTAN, NY

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BRONX – A1032708
*** POSSIBLY HIT BY CAR/CAN’T STAND UP/POSSIBLY PARTIALLY BLIND ***

FEMALE, WHITE, POODLE MIN MIX, 4 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 04/09/2015, From NY 11434, DueOut Date 04/12/2015,

Medical Behavior Evaluation GREEN
Medical Summary S/O: Patient presented as a stray, found on the side of the road – possibly hit by car. On presentation, patient was in lateral recumbency. Dull, but responsive. Large, gaping wound on the craniolateral aspect of the right hind limb just distal to the coxofemoral joint. Patient was very uncomfortable and painful when palpated. Microchip negative mm= pink, moist, CRT< 2 sec. hydration = adequate Integ – Dirty coat, long nails. Superficial abrasions present on ventral abdomen – erythematous. EENT = clean AU, cataracts present OU – may be partially blind – patient does not respond to menace, but will respond to PLR, and palpebral reflexes. Moderate periodontal disease, oligodontia. Some mild hemorhhagic discharge from the left side of the mouth, unable to locate origin. nnd. H/L = HR: 180 bpm; RR: 36 bpm; nma, nsr; clear lung fields bilaterally Abdomen = snp, patient resented palpation of caudal abdomen GU = Female – no spay scar noted LN = wnl CNS = dull mentation, no obvious cranial nerve deficits MS = non-amb. but maintains strength in all limbs. Approx. 3-4 cm linear laceration on lateral hind right limb with muscle exposure. A: 1. Laceration 2. Unable to walk 3. Periodontal disease 4. Poss. early cataracts 5. Unkempt coat. Prognosis: Fair 1. CBC/Chem (abnormalities noted) Stress leukogram mild non-regenerative anemia 2. 2 view Pelvic radiographs – The positioning is slightly off (not centered) however no obvious fractures could be determined from the views. 2 view thoracic radiographs – no obvious abnormalities detected. The lungs appear to have a possible mild interstitial pattern bilaterally, but may also be artifact. 3. Clipped and flushed wound out copiuously using nolvasan at medium pressure. Placed a telfa pad, cast padding, and vetwrap over the wound to keep in place overnight. 4. Hydromorphone @ 0.1 mg/kg (0.35 ml) was given SQ @ 5:20 PM. 5. Gave injection of Rimadyl SQ @ 2.2 mg/kg (0.3 mL) @ 7:20 PM 6. Started course of Clavamox PO, 2.2 mL once. 7. Offered food but patient was inappetent. 8. Will monitor tomorrow.
Weight 15.2

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