RED VELVET – A1057442
Gone 11-11-2015 Brooklyn
GONE 11/11/15
Brooklyn Center
RED VELVET – A1057442
NEUTERED MALE, BRN TABBY / WHITE, DOMESTIC SH,5 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition UNSPECIFIE Intake Date 11/10/2015, From NY 11203, DueOut Date 11/13/2015,
Medical Behavior Evaluation GREEN
Medical Summary Scanned negative QARH – patient, allows all handling N~ 5 years Ears, eyes, nose, mouth clear – teth stained Overweight – does not like to walk. Some deterioration of muscles along the caudal spine. VC requested. Urine scald along abdomen and hind legs. Coat – fouled with feces and urine. Flea dirt noted; no live parasites found. NOSF
Weight 14.0
S: ate a small amount of dry food, very large amount of urine in the cage
O:
Appearance: dull to QAR, ~10-12% dehydrated
Integument: unkempt haircoat, polonged skin turgor
EENT: OU iris atrophy but otherwise clear, No nasal d/c
Oral cavity: MM pale pink, CRT <2sec, healthy dentition with mild staining on canines
PLN: WNL
H/L: No murmur or arrhythmias, Lungs clear, slightly tachypnic
ABD: Soft non painful, no palpable masses or organomegaly, large palpalbe bladder
U/G: normal external genitalia
M/S: Amb x 4, no appreciable lameness
Neuro: NSF
Urine dip- Glucosuria, ketone negative
A: Glucosuria- r/o DM vs. less likely other
dehydrated- r/o secondary to unregulated DM
tachypnic-r/o secondary to metabolic acidosis secondary to unregulated DM vs. less likely primary pulmonary vs. pleural effusion
P: Recommend immediate NH placement and transfer to a primary care facility to start on insulin for long term care. Will start SQ fluids while in hospital. Will move to medical to obervation and alert NH
Prognosis: Good with appropriate treatement
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