Animal Profile


Risotto

Hello, my name is Risotto. My animal id is #31159. I am a desexed male black dog at the . The shelter thinks I am about 2 years 1 weeks old.

I came into the shelter as a agency on 6/14/2018.

Reserved

Someone has already placed a deposit on me. I'm no longer available.

Risotto has a severe neck wound from an embedded collar that will require follow up medical treatment. Behaviorally, He has been challenging to handle in the care center and at times has escalated to lunging growling and snapping, we recommend placement with a New Hope Partner.

My medical notes are...

Weight: 26 lbs

6/14/2018

[LVT Intake Exam] Microchip Scan: negative, did not place Evidence of Cruelty: yes, alerted cruelty liaison Observed Behavior: tense and whale eyed, will bark and give a stiff growl, seems painful (whines to self and somewhat shut down when not guarding self) Sex: intact male (could not palpate) Estimated Age: appx 2y Subjective: animal was found tied to a fence by the Parks Dept, has full thickness embedded collar wounds on mostly ventral side of neck, collar is a chain and nylon mix, wound is appx 3 inches wide and extends from ear to ear on neck (smaller section behind head); good haircoat and body condition otherwise Eyes: clear Ears: clean Oral Exam: minimal staining Heart: WNL Lungs: WNL Abdomen: WNL Musculoskeletal: WNL BCS 5/9 Mentation: BARH Preliminary Assessment: embedded collar Plan: NPO for a.m. sedated clip and clean/suture/drain placement, DVM intake, withheld Vx and tech tasks due to nature of intake, oncall DVM rec. clavamox (5x350mg tabs and 1x125 tab) x10d BID and rimadyl (50mg)x7 SID

6/14/2018

Administered 0.4mls Dexdomitor 0.5mg/ml, 0.25mls Butorphanol 10mg/ml IM for sedated wound clip and clean @ 3:55pm. Shaved area, DVM cleaned with Chlorhexidine and NACL, applied Telfa pad with SSD , and applied three layer bandage. Intake tasks were completed. Patient received a harness. Patient was reversed with 0.2mls of Antisedan 5mg/ml IM @ 4:40pm and returned to housing without incident. Patient was fed immediately upon return.

6/18/2018

Risotto was scheduled for an AM Tx of Tramadol (50 mg/tablet) Administered 1 tablet PO from bottle number 3 at 10:24 AM DVM 1088 LVT 1461

6/20/2018

Risotto was scheduled for an AM Tx of Tramadol (50 mg/tablet) Administered 1 tablet PO from bottle number 3 at 7:43 AM DVM 1088 LVT 1461

6/22/2018

TASKS TO BE COMPLETED BY SURGICAL TEAM AS PATIENT IS BEING NEUTERED ON THE SAME DAY.

6/14/2018

Pt BAR but terrified this morning - comes out of kennel willingly but alternates between pulling forward and backwards on the leash. Jumps around, shows teeth but no growling or snapping. We used a leash to make a temporary harness for him, but were not able to muzzle or perform an exam without a large amount of stress - will examine more completely when pt is sedated later today. There is obvious discharge from a deep, foul-smelling wound on the neck related to an embedded collar - will sedate for exam and wound clip/clean this afternoon. Switch Clavamox from previous dose to 250 mg PO BID x10 days. Continue Rimadyl daily x10 days. 1088

6/14/2018

DVM Intake Exam Estimated age: Estimated 1-3 years based on dentition and overall appearance Microchip noted on Intake? Scanned neg - MC placed History : Found outside tied to a fence. Started on Rimadyl last night. Subjective: Alert, tense, barks when ignored in kennel Observed Behavior - Tense, jumps away from all touch. No growling or snapping. Evidence of Cruelty seen - Embedded collar - in neck Evidence of Trauma seen - None Objective BAR-H, MMs pink and moist Remainder of exam was completed under sedation (Dexdomitor 0.4 ml IM and butorphanol 0.25 ml IM). BCS 4.5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Soft, not distended, no masses palpated U/G: Male intact, testicles S/S MSI: LARGE wound on ventral neck with a metal chain embedded inside. The wound is partial thickness, 12.5 cm long and 3 cm wide, approx 1-2 cm deep. The exposed tissue is bright red granulation tissue, covered with bloody purulent discharge and surrounded by pt's thick fur coat. There is mild thickening around the wound. Pt is ambulatory x 4, skin free of parasites, no masses noted, otherwise healthy hair coat. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Assessment: Severe wound associated with embedded collar Prognosis: Good with appropriate treatment Plan: Sedate for clip/clean/bandaging SURGERY: Okay for surgery 1088

6/14/2018

Pt was sedated with 0.4 ml Dexdomitor and 0.25 ml butorphanol IM. Oxygen was provided by mask. The ventral neck was shaved around the wound. The embedded collar came out - a metal choke chain with a piece of red nylon webbing through the dorsal aspect. The ventral aspect of the collar was embedded in the wound and is covered in bloody purulent discharge. Wound was cleaned with chlorhexidine scrub and rinsed with sterile LRS. Applied SSD and bandaged the wound with Telfa pads applied over the wound, and cast padding, roll gauze and VetWrap loosely around the neck. Fitted pt with chest harness. Reversed with 0.2 ml Antisedan IM. PLAN: 1. Continue Clavamox, Rimadyl 2. Daily bandage changes 3. Walk with chest harness only - no neck leads 1088

6/15/2018

Recheck of neck wound + bandage change: BAR - no c/s no v/d observed/reported sedated with 0.4 DexDom + 0.25 Torb IM - hydrated Bandage around neck removed = deep neck wound measuring ~ 10 cm long and ~ 1-2 cm deep on the ventral part of the neck with moderate amount of serosanguineous d/c around wound and on telfa bandage; the wound was copiously flushed/cleaned with saline and dilute chlorhex; wound edges were freshened and partially closed with sutures using 2-0 monocryl; wound then rebandaged with SSD, telfa, cast padding and vet wrap Hydro 0.6 ml SQ + antisedan 0.2 ml IM given after procedure P: cont. pain meds, ATB's and bandage changes + Tramadol 50 mg PO BID x 5 days

6/16/2018

Recheck of neck wound + cleaning/bandage change: BAR in kennel, appears a little calmer today, still as aggressive hx/potential, sedated for tx - no c/s no v/d observed/reported - sedated w/ 0.4 ml Dexdom + 0.6 ml hydro IM Tx: removed bandage, mild-mod. amount of d/c on telfa pad (likely SSD cream mixed with wound exudate); wound was cleaned and flushed copiously with saline + dilute chlorhex, sutures are intact, looks stable at this time; reapplied with SSD + telfa + padded bandage P: cont. ATB's, pain meds rec' regular recheck of wound/bandage change and eventual suture removal

6/17/2018

History of embedded collar- removed 6/14 SO Continuous low growl when in the room, would not allow exam of neck wound. No strike-through on bandage. BAR, laying down, showing the whites of eyes. EENT: no ocular or nasal discharge, no coughing or sneezing during exam. Assessment: Painful Plan: 1. Continue tramadol 50 mg PO BID and Rimadyl 0.5 tab PO SID. 2. Adding Gabapentin 200 mg PO BID for 5 days Re Trazodone request: Due to possible drug reaction with tramadol will try Gabapentin instead - edited by Dr. Brennen 1540

6/18/2018

Pt was sedated with 0.4 ml Dexdomitor and 0.6 ml hydromorphone, IM, at 12:54pm. It's not clear if all of the drugs went into the dog's muscle. Pt did not become sedated, so at 1:15pm pt was given additional 0.2 ml Dexdomitor and 0.3 ml hydromorphone IM. Neck bandage was removed - wound is healing very well!! No swelling, erythema or discharge noted. Sutures are in place. Wound was cleaned gently with chlorhexidine solution and then lavaged with saline. Rebandaged with SSD, Telfa, cast padding, roll gauze and VetWrap. Pt was reversed with 0.6 ml Antisedan IM. PLAN: Recommend rebandaging every 2 days or sooner if the bandage falls off or gets wet. Okay to move pt out of MMB. 1088

6/20/2018

Hx: Embedded collar injury to ventral neck. Most recently bandaged yesterday. S: BAR in kennel, barking and growling O: Neck bandage in place, no slipping No coughing or sneezing, no nasal discharge -Small dorsal nose abrasion ("cage nose" lesion) A: Bandage appropriately placed P: Change bandage tomorrow 1088

6/22/2018

Presurgical exam and sx notes: *visual exam due to aggressive behavior S/O: BARH BCS 5/9 - mild cough in kennel observed this AM, no nasal discharge - mentation appropriate - amb x 4 Undersedation: - hydrated - neck bandage in place from previous embedded collar wound - H/L nsf - soft abdomen - intact male A: ok for neuter and wound recheck/bandage change - poss. early CIRDC Sx notes: Routine neuter Pre scrotal Incision Spermatic Cord Ligation with: modified millers/simple encircling using 2-0 Monocryl Sub Q closure/Skin closure with continuous pattern using 2-0 Monocryl Green tattoo placed lateral to incision Incision closed with tissue adhesive to aid with closure - Bandage removed, no discharge or swelling present, sutures intact/clean/dry; neck wound was gently cleaned with dilute chlorhex and padded bandage replaced P: cont. pain meds/ATB's + recheck bandage/wound and evaluate for suture removal in 5-7 days - Doxy 125 mg PO SID x 14 days (started today) to go home for early CIRDC

6/22/2018

Canine Neuter Pre Medication: Buprenorphine 0.3 mg/mL injectable,1.2 mL IM, once at 11:00 am Butorphanol 10 mg/mL injectable, 0.24 mL IM, once at 11:00 am Dexdomitor 0.5 mg/ml injectable, 0.2 ml IM, once at 11:00 am Venous access: 22g IV placed in LF cephalic vessel. Induction: Ketamine 100 mg/mL injectable; 0.35 mL IV, once at 11:45 am Propofol 10 mg/ml injectable: 1.5 ml IV, once at 11:45 am Testicular block: Lidocaine 0.6 ml + 0.6 ml sterile water administered pre-operatively. Anesthesia notes: Size 8.5 fr. ET tube placed, maintained general anesthesia throughout procedure on variable isoflurane and variable O2. Size 2L rebreathing bag. Intraoperative fluid administration: (Rate, Fluid type) Intraoperative IV fluids (LRS) administered at a rate of 120 mL/hr throughout procedure. NSAID: Rimadyl 50mg/mL injectable, 0.6 mL, SQ, once, post operatively, for post-operative pain relief. Recovery Uneventful. Anesthesiologist/Surgical Monitor: 0391/0468 As per Dr. 0577: **Dispense 0.5 tablet carprofen 100 mg sid po x 3 days as pain management (completing the first 10 ocurrencies + 2 more days as pain post management) **Dispense 1.25 tablet doxycycline 100 mg sid po x 13 days (first dose done today after surgery. **Canceling Clavamox 250 mg treatment (last dose 6/23/18)

Details on my behavior are...

Behavior Condition: 4. Orange

Date of intake:: 6/14/2018

Spay/Neuter status:: No

Means of surrender (length of time in previous home):: Stray, no known history

Date of assessment:: 6/17/2018

Summary:: Risotto has allowed very minimal handling due to his highly fearful behavior and propensity to escalate to threatening behavior; out of concern for his stress level and staff safety, a handling assessment will not be attempted.

Date of intake:: 6/14/2018

Summary:: Growling upon approach

Date of initial:: 6/14/2018

Summary:: Tense, whale eyed, growls

BEHAVIOR DETERMINATION:: NEW HOPE ONLY

Behavior Asilomar: TM - Treatable-Manageable

Recommendations:: No children (under 13),Place with a New Hope partner

Recommendations comments:: Place with a New Hope partner: Because Risotto has been challenging to handle in the care center and at times has escalated to higher level warning signals/threatening behavior. We believe Risotto would be best set up to succeed throughout placement with a New Hope rescue group who can further assess her behavior in a stable home environment. Force-free, reward based training is advised when introducing or exposing her to new and unfamiliar situations. No children (under 13): Due to Risotto's high level of fear, we believe an adult only home would be most beneficial at this time.

Potential challenges: : Fearful/potential for defensive aggression

Potential challenges comments:: Fearful/potential for defensive aggression: Risotto remains highly fearful in the care center and hesitant to interact; he seems to escalates quickly to snapping, so this is an established behavior that he offers when he feels threatened. We recommend only force-free, reward-based training methods for Risotto as more aversive techniques are likely to increase fear and increase the risk of aggression.