SYLVIA – A1034463

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SYLVIA – A1034463
**Sweet puppy Sylvia needs immediate help!!**

FEMALE, BLACK/WHITE DUTCH SHEPARD MIX, 13 wks
Intake Date 04/27/2105, From NY 10001, DueOut Date,

INTIAL EXAM: scan negative, dull, depressed, lethergic, dehydrated, no appetite, temp 99.5F, parvo test negative, female puppy, spoke to Dr Memoli and explained, gave 150cc SQF, Nutrical, hold vax for now, placed on medical with heat pad and comford bedding, NOSF
Weight 24

A shelter staff member writes:
Meet Sylvia!! Sylvia came to the care center as a stray and is very sick. She has tested NEG for parvo, but still needs to leave as soon as possible to a Vet. Please pull Sylvia from MACC today!!

RE-EXAM:
S/O:
Appearance: dull, responsive
Integument: Appropriate hair coat, normal nails, prolonged turgor
EENT: OU clear, AU clean, No nasal d/c
Oral cavity: MM pink, tacky, CRT ~2sec, Healthy dentition
PLN: WNL
H/L: No murmur or arrhythmias, Lungs clear, hr= 160, fair pulses
ABD: Soft non painful,
U/G: female
M/S: Amb x 4
BCS: /9
Neuro: NSF
NOSF
A
Moderate dehydration
Severe diarrhea- non bloody
P
Start IV fluids
Start metronidazole

OBSERVATION:
QAR
temp 100.4F
no appt throught night
no diarrhea or vomiting throught night
slept most of the night
NOSF

OBSERVATION:
BLOOD WORK REPORT CBC
Parameters Results Reference intervals
RBC 6.75 M/microliter…………5.65-8.87
HCT 38.6 % 37.3-61.7
HGB 16.0 g/dl 13.1 – 20.5
MCV 52.2 fL 61.6-73.5 LOW
MCH 23.7 pg 21.2-25.9
MCHC 41.5 g/dl 32-37.9 HIGH
RDW 15.8 % 13.6-21.7
%RETIC 0.6 %
RETIC 38.5 K/microliter 10-110.0
WBC 12.61 K/microliter 5.05-16.76
%NEU 72.7 %
%LYM 16.0 %
%MONO 10.8 %
%EOS 0.4 %
%BASO 0.1 %
NEU 9.17 K/microliter 2.9 – 11.64
LYM 2.02 K/microliter 1.05 – 5.10
MONO 1.36 K/microliter 0.16 – 1.12 HIGH
EOS 0.05 K/microliter 0.06 – 1.23 LOW
BASO 0.01 K/microliter 0.00-0.10
PLT 340 K/microliter 148 – 484
MPV 9.4 Fl 8.7 – 13.2
PDW 12.3 FL 9.1 – 19.4
PCT 0.32 % 0.14 – 0.46
BAND NEUTROPHILS SUSPECTED

OBSERVATION:
Blood chemistry:
Parameters Results Reference intervals
GLU 187 mg/dl 77-150 HIGH
BUN 107 mg/dl 7 – 29 HIGH
CREA 0.5 mg/dl 0.3 – 1.2
BUN/CREA 214
PHOS 9.2 mg/dl 5.1- 10.4
CA < 1 mg/dl 7.8-12.6 LOW
TP 7.4 g/dl 4.8 – 7.2 HIGH
ALB 4.2 g/dl 2.1-3.6 HIGH
GLOB 3.2 g/dl 2.3- 3.8
ALB/GLOB 1.3
ALT 33 U/L 8 – 75
ALKP 77 U/L 46-337
GGT 1 U/L 0-2
TBIL 0.5 mg/dl 0.0-0.8
CHOL 287 100 – 400
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