POOCHIE – A1101095

MANHATTAN CENTER

POOCHIE – A1101095

FEMALE, BRN TABBY / WHITE, DOMESTIC SH,14 yrs
OWNER SUR – EVALUATE, NO HOLD Reason OWNER SICK
Intake condition EXAM REQ Intake Date 01/06/2017, From NY 10452, DueOut Date 01/06/2017,
Medical Behavior Evaluation RED
Medical Summary 1/6/17 Sex: Not able to confirm, but pt appears to be female, and reported to be female Scan: Not able to scan Estimated age: 14 as reported by previousl owner Fleas: Small amount of flea dirt. S: Yowling, lunging and hissing, unable to examine even when netted O: BAR-H, BCS 7/9, MMs pink and moist EENT: Appears to have some dental disease or missing teeth. No nasal or ocular discharge. H/L: Not able to auscult. Eupnic. Abd: Not able to palpate. M/S/I: Amb x4. No skin lesions noted through net. UG: Unable to confirm sex A: Minimal exam performed. Pt appears to be overweight with dental disease. Short-term prognosis: Fair P: 1. Recommend full exam when pt has relaxed 2. Need to MC scan, give pyrantel and Advantage 3. Will likely need weight loss and dental cleaning. 1088
Weight 12.7

INTIAL EXAM

1/6/17

Sex: Not able to confirm, but pt appears to be female, and reported to be female

Scan: Not able to scan

Estimated age: 14 as reported by previous owner

Fleas: Small amount of flea dirt.

S: Yowling, lunging and hissing, unable to examine even when netted

O: BAR-H, BCS 7/9, MMs pink and moist

EENT: Appears to have some dental disease or missing teeth. No nasal or ocular discharge.

H/L: Not able to auscult. Eupnic.

Abd: Not able to palpate.

M/S/I: Amb x4. No skin lesions noted through net.

UG: Unable to confirm sex

A: Minimal exam performed. Pt appears to be overweight with dental disease.

Short-term prognosis: Fair

P:

1. Recommend full exam when pt has relaxed

2. Need to MC scan, give pyrantel and Advantage

3. Will likely need weight loss and dental cleaning.

Re Exam:

1/6/17

S/O: reported to be suddenly yowling and running in kennel in a circle with no provocation. As per intake information, previous o stated that p will suddenly start yowling and running, become stressed and aggressive when people approach

BAR, sitting in kennel, food eaten, quiet, appears comfortable, then when approached began running in kennel, yowling, knocked over water container while circling

amb x4

unable to complete full exam, had to use net to restrain p

urinated and defecated while in net, attempted to palpate abn, p tense, then touched spinal column, also tense and yowled- p very stressed, cannot detect if pain because reacting to all touch

A: sudden yowling/running: r/o stress/behavioral, pain, neuro (hyperasthesia), other

P: while in net, gave buprenorphine 0.3mg/ml: 0.2ml IM in case of pain

will monitor

ideally sedated exam, if no obvious explanation for CS consider full body rads, cbc/chem/t4, check anal glands and express if full, gabapentin trial for possible hyperesthesia

Profile:

01/06/17 13:10

Basic information:

Poochie is a 14 year old domestic short hair. She was found as a stray when she was a kitten. She was surrendered because her previous owner is sick and unable to care for her. The last time she went to the vet was 2 years ago but she has never had any medical concerns.

Socialization:

Around strangers Poochie is said to be aggressive. She growls and circles them if they are near her owner but if not she ignores them. She lived and spent time with children ages 11 and 2 years old. Around them she was aggressive and would growl, hiss and scratch ankles.

Behavior:

Poochie has bitten and scratched a person in the past but has not in the past 10 days. In car rides she is relaxed. She enjoyed having her coat brushed but only allowed her owner to do this. She bites and growls if picked up or placed in a carrier.

For a New Family to Know:

Poochie is described as affectionate, toward her previous owner, assertive, independent and quiet with a medium activity level. When her previous owner was home she would tend to follow him around. She shows no interest in toys and was kept indoors only. At night she slept in a cat bed. She ate both wet and dry Friskies. She is litter box trained and used an uncovered litter box and clumping litter.

Behavior during intake:

Poochie was growling, swatting and hissing during intake.

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