BOY – A1114997
Urgent - Manhattan
BOY has a badly injured paw – has an abscess and is infected- needs medical – if not improved may need amputation – needs a home asap!
BOY – A1114997
NEUTERED MALE, BLACK / WHITE, DOMESTIC SH MIX,5 yrs
STRAY – STRAY WAIT, NO HOLD Reason PETINJURED
Intake condition EXAM REQ Intake Date 06/11/2017, From NY 10033, DueOut Date 06/14/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 5 years Microchip noted on Intake? neg History : part of a feral colony; brought in because his back paw is injured Subjective: QAR Observed Behavior – timid but allows handling Evidence of Cruelty seen – none Evidence of Trauma seen – swollen LH paw Objective BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: mm pk, tacky; CRT <2 sec; fracture of upper L canine with root exposure PLN: No enlargements noted H/L: no murmurs/arrhythmias; eupnic, normal lung sounds ABD: Non painful, no masses palpated U/G: neutered MSI: LH-non weight bearing; significant pitting edema of paw; CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment Abscess-r/o bite wound vs other Fractured canine Plan sedated with 0.2 ml dexdom/0.45 ml buprenorphine IM cleaned area-expressed copious amount of purulent discharge from suspected wound on dorsal aspect of paw, caudomedial to main paw pad; tissue in btwn main paw pad and digital pads is necrotic-debrided area; flushed area with sterile LRS and chlorhex scrub placed bandage; change and re-evaluated tomorrow gave 100 ml LRS SQ simbadol SID x 3 days onsior SID x 3 days amoxiclav 1.4 ml PO BID x 14 days Rec’d dental cleaning and extraction of upper L canine after wound has resolved Prognosis: fair to good; there is a significant amount of necrotic tissue associated with injury, suspected to be chronic abscess secondary to wound; if infection persists despite medical treatment, then may require limb amputation in the future SURGERY: neutered
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