TIKO – 9660

BROOKLYN CENTER

Tiko 9660

Location: Brooklyn

Intake Date: 10/13/17

Intake Type: Owner Surrender

Medical Behavior: Green

Sex: Female

Age: 3 years

DVM Intake Exam

Estimated age: 3 years
Microchip noted on Intake? negative
History : o/s
Subjective: BARH. Abdominal effort to breathing.
Observed Behavior – very sweet. Easily handleable but became stressed and started open mouth breathing with handling. Did well for all medical handling and procedures
Evidence of Cruelty seen – no
Evidence of Trauma seen – no

Objective
P = wnl
R = ~40bpm
BCS 5/9
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: adult dentition with mild dental staining, no oral lesions noted
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs have harsh BV sounds bilaterally and she is dyspneic with abdominal effort and open mouth breathing
ABD: Non painful, no masses palpated
U/G: FI, no MGTs, no vulvar d/c
MSI: Ambulatory x 4, skin free of parasites, no masses noted, unkempt hair coat
CNS: mentation appropriate – no signs of neurologic abnormalities

Assessment:
Dyspnea with open mouth breathing and abdominal effort r/o asthma vs infectious vs other
Pleural and abdominal effusion r/o neoplasia vs FIP vs trauma vs other

Plan: Continue to monitor while at BACC
2 view CXR-moderate pleural effusion with abdominal effusion noted on CXR. Lung fields decreased to ~25%
butorphanol 0.2mg/kg IV
CBC-mild monocytosis 0.83 (0.05-0.67), mild neutrophilia 10/82 (1.48-10.29), mild basophilia 0.4 (0.01-0.26), anemia 26.2% (30.3-52.3)
Chem-mild hyperglycemia 240 (74-159)
Due to grave prognosis, EHR was elected

Prognosis: grave

SURGERY: n/a

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