SADIE – A1107650
Gone - 4-6-2017 Manhattan
GONE 4/6/17 Sadie is not feeling well- has diarrhea, and URI with some ulcers – has heart murmur – conjunctivitis, emaciated, dehydrated, and needs rescue!
SADIE – A1107650
FEMALE, CALICO, DOMESTIC SH MIX,3 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition ILLNESS Intake Date 04/02/2017, From NY 10458, DueOut Date 04/05/2017,
Medical Behavior Evaluation GREEN
Medical Summary 04/02/17 17:37 DVM Intake Exam Findings scan neg 5 yo female DSH History stray Subjective Observed Behavior – energetic, allows all exam, eating well Evidence of Cruelty seen – emaciated Evidence of Trauma seen – no Objective T = note done P = 200 R = 18 BCS 1/9 6-7% dehydrated based on loss of skin turgor EENT: mucoid discharge OU, enopthlamus with 3rd eyelid elevation OU, crusting purulent nasl dc Oral Exam: missing maxillary incisors, moderate dental taratar, lingual ulcers, pale gums PLN: No enlargements noted H/L: gallop rhythm, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, doughly loops of intestine, no feces in colon U/G: female, no palapble bladder MSI: Ambulatory x 4, swollen anus and vulva covered in diarrhea, diarrhea covering ventral tail and caudal thigh, emaicated and mm wasted CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: no performed, severe malordorous liquid dirrhea Assessment URI with oral ulcerations gallop rhythm & heart murmur (r/o anemia & dehydration vs cardiac dz) conjunctivitis anemia emaciation dehydration diarrhea Plan IVF bolus of 40ml over 30min, then 4ml/hr CBC Chem 0.39ml Baytril SQ x4d 0.34ml Metronidazole PO BID x7d 0.9ml Panacur PO SID px fair,
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