DOG

A320125

Reason:

OWNER SUR

Intake Date:

Outcome:

8/28/18

EUTH

HLTH HST

9/6/18

Treatment Records:

Date
Type
Medication
Weight
Description
Reason
Diagnosis
Body Condition
8/31/18
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08/31/18 - on rounds- noted excessive swallowing- mm pink- eating well; put in a to do to examine mouth and throat for possibel FB if dog is amenable to handling for exam
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9/1/18
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09/01/18 Came in to blood covered dog kennel. Dog appeared to be bleeding from his feet but the volume of blood in the kennel made it difficult to tell where the injury was coming from. Dog was licking excessively and had a hard time standing. Ran Parvo test and asked Lead Schendel to take dog to AEVS. Parvo test negative
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9/1/18
PARVO TEST
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9/1/18
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37.4
ACT noted an unusual amount of blood mixed in with fecal material and urine painted all over floor in kennel this morning; ACO brought dog to BluePearl emergency for exam and to determine source of bleeding. Dog received bath prior to exam. T=103.1; P=140; R=panting. Noted repeated licking behavior. Adequate hydration. Periocular erythema and edema. Otisis AD. Mild inflammation/ulceration at L lip commissure. Growling/not cooperative for oral exam. Thoracic auscultation and abdominal palpation WNL. Ambulatory x 4; wide-legged gait in rear limbs. Normal mentation- no neurologic deficits noted. Markedly inflamed scrotum. Generalized severe erythema- no hives- severe interdigital dermatitis with oozing of blood from paws- small volume at this time. Skin tag R elbow. Rectal exam WNL; diarrhea on glove- no blood. Administered 35mg Diphenhydramine IM and 3.4mg Dexamethasone IV at 09:15. Recommend continuing antihistamine and starting antibiotic. DDx possible severe contact dermatitis. Px open pending diagnostics and/or response to therapy.
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4/9
9/1/18
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Dog was seen at AEVS this morning re: blood found in kennel (suspect from severe interdigital dermatitis). Removed pressure bandage from L forelimb (from IV cath). No blood found in kennel since return from AEVS. Dog is BAR with good appetite- but is notably ataxic and appears moderately sedated- possibly from diphenhydramine injection (was administered a 1mg/lb dose). Licking behavior persists. If contact dermatitis- R/O cleaning substance vs. dog's tendency to paint kennel floor with feces/urine. Will monitor response to recommended therapies. Rx Diphenhydramine 25mg - 1 tab PO BID x 1d (2 more doses- starting this evening) Rx Cephalexin 500mg - 1 cap PO BID x 5d
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4/9
9/1/18
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DIPHENHYDRAMINE TABS
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9/1/18
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CEPHALEXIN 500 MG
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9/1/18
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See med note from AEVS this morning. Recheck brief exam kennelside. BAR- excellent appetite. Mild ataxia and high-stepping in the rear limbs. Severe interdigital erythema and a few- tiny- mild ulcers noted at junctions of pad/skin on a few paws. Moderately erythematous scrotum. Mild-moderate erythema of rostral lips. Licking behavior persists. Oral exam limited- but able to see severe erythema of soft palate - clear line of demarcation. Rest of oral mucosa viewable at this time looks normal. Presumed severe pharyngitis. Unknown cause of dermatitis and pharyngitis - will monitor response to oral meds. This dog had a dexamethasone injection this morning - should be okay to start carprofen tomorrow morning (~24-hours after dex inj) for inflammation and pain control. Will feed soft food for comfort in swallowing. Rx Carprofen 75mg - 1/2 tab PO BID x 3d (start tomorrow).
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9/1/18
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Administered DA2PP vaccine SQ LR.
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9/1/18
DA2PP
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9/4/18
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This dog is ataxic- acts like it has something stuck on roof of mouth and was apparently not behaviorally trustworthy. Not placeable.
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Behavior Records:

Date
Reason
HEAD PAT
TOUCH
TOOTH
FOOD
Notes

Evaluation Records:

eval_date
eval_type
eval_comments