SAMSON – 27731

MANHATTAN CENTER

Samson 27731

Location: Manhattan

Intake Date: 5/10/18

Intake Type: Stray

Medical Behavior: —

Sex: Male

Age: 1 year

Original Location: 10463

DVM Intake Exam

Estimated age: Approximately 1 year
Microchip noted on Intake? Negative, MC placed

History : Reported stray that finder has been allowing into home and feeding

Subjective: BARH, hunched, but allows all handling

Evidence of Cruelty seen – no

Evidence of Trauma seen – suspect

Objective
P = wnl
R = 32
BCS = 5/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: clean adult dentition
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Intact male, two scrotal testicles
MSI: Ambulatory x 4, LF lameness – severely swollen LF limb with pitting edema from mid femur extending distally. Skin deep pink/purple under fur, LF paw bleeding, but unable to identify specific wounds without clipping, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: Externally normal

Assessment:
1. Pitting edema LFL
2. Bleeding from LF paw

Prognosis: Good pending diagnostics and treatmemt

Plan: Simbadol 0.2mg/kg SQ and Convenia 8mg/kg SQ tonight. Recommend xrays, clip and clean limb to assess wounds tomorrow.

SURGERY:
Temporary waiver due to wound

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