#Red And White Lesions of Oral Cavity Notes

[vasanthasworld]

Red And White Lesions of Oral Cavity Notes

[aesthetic705]

Mouth Cancer Action Month: Preventing Oral Cancer

November is Mouth Cancer Action Month, an important initiative that aims to raise awareness about oral cancer and the crucial role of prevention and early detection. Oral cancer, which includes cancers of the mouth, lips, and throat, is a serious and potentially life-threatening condition. However, the good news is that many cases of oral cancer can be prevented. In this article, we will explore the significance of Mouth Cancer Action Month and what an oral surgeon in Summerville suggests to avoid mouth cancer.

Understanding Oral Cancer:

Oral cancer occurs when there is an abnormal and uncontrolled growth of cells in the oral cavity or throat. It can affect various parts of the mouth, including the lips, tongue, cheeks, and the soft and hard palates. The leading causes of oral cancer are often related to lifestyle choices and habits, making it a preventable condition in many cases.

The Importance of Early Detection:

Early detection is a key factor in successfully treating oral cancer. When detected in its early stages, the chances of a full recovery are significantly higher. Routine dental check-ups are essential for early detection, as dentists are trained to recognize the signs and symptoms of oral cancer.

Preventive Measures for Mouth Cancer:

The best oral surgeon in Summerville emphasizes the importance of taking proactive steps to reduce the risk of developing oral cancer. Here are some preventive measures:

1. Tobacco and Alcohol Avoidance:

Tobacco use, including smoking and smokeless tobacco, is a leading cause of oral cancer. Alcohol consumption, especially when combined with tobacco use, further elevates the risk. Quitting or avoiding these substances is one of the most effective ways to reduce the risk of oral cancer.

2. Healthy Diet:

Consuming a balanced diet rich in fruits and vegetables provides essential vitamins and minerals that support overall health. A diet high in processed foods and lacking in nutrients can contribute to an increased risk of oral cancer.

3. Sun Protection:

Excessive sun exposure can increase the risk of lip cancer. Using lip balm with sun protection factor (SPF) and wearing a wide-brimmed hat when in the sun can help reduce this risk.

4. HPV Vaccination:

Human papillomavirus (HPV) is a known risk factor for oral cancer. Vaccination against HPV can help reduce the risk of developing oral cancer.

5. Regular Dental Check-ups:

Regular dental check-ups are essential for early detection. Dentists are trained to recognize the signs of oral cancer and can perform a thorough examination during routine visits. The oral and maxillofacial pathologist examine the mouth carefully before suggesting a treatment. 

6. Self-Examination:

Individuals can also perform self-examinations at home. Be alert to any unusual changes in the mouth, such as persistent sores, lumps, white or red patches, or difficulty swallowing. If any of these symptoms persist for more than two weeks, it is essential to consult a healthcare professional.

The Role of Mouth Cancer Action Month:

Mouth Cancer Action Month serves as a reminder of the importance of awareness, education, and early detection. During this month, various healthcare organizations and professionals come together to provide information, resources, and screenings to the public. 

The ABCDE of Mouth Cancer:

To help individuals recognize the signs of oral cancer, an oral surgeon in Summerville suggests following the ABCDE approach:

Asymmetry: Check for any unusual asymmetry in the face, lips, or mouth.

Borders: Examine the borders of moles, sores, or lesions for irregularities.

Color: Be alert to any changes in the color of the lips, tongue, or oral tissue.

Diameter: Take note of the size of any persistent sores or growths.

Evolution: Pay attention to any changes over time, such as growth, bleeding, or discomfort.

Conclusion 

Mouth Cancer Action Month is a crucial opportunity for individuals to become more informed about the risks and prevention of oral cancer. By adopting a proactive approach to a healthy lifestyle, regular dental check-ups, and awareness of the signs of oral cancer, we can significantly reduce the incidence of this disease. Early detection remains one of the most effective means of successful treatment, underscoring the importance of routine check-ups and self-examinations. By working together to raise awareness and promote prevention, we can make great strides in reducing the impact of oral cancer in our communities.

[bloojayoolie]

Apparently, Beautiful, and Click: finn A LEVEL 1 rated baby puppy in dire need of TLC, vetting & a family. A total sweetheart, who adores everyone. Id 60236 12 Mos., 35 1bs., Manhattan ACC TO BE KILLED 6/15/19 *** IN ISO – POSSIBLY PNEUMONIA *** Sweet, Level 1 rated puppy FINN needs a foster or adopter ASAP so he can get the veterinary care he needs! Adopted in April, returned in June due to his medical issues, sweetheart Finn isn't feeling too well…. This poor sweet boy has CIRDC, possibly Pneumonia, and he has swollen salivary glands, a painful condition that has not yet been diagnosed fully! This poor baby is so sweet – barely a year old, and full of joy despite his pain. He’s LEVEL 1 rated too – the very best score you can get. As a staff member writes: “Rock star? More like Cuddle Buddy. Rock star is the sweetest puppy I have met so far. He loves to curl up in your lap and pretend to be way smaller than he actually is. He is also very playful. Although toys may not be his thing, warm hugs and genuine love will satisfy him more than toys ever will. With those big beautiful ears you can tell that he is always searching for a new play mate. Come into the Manhattan ACC today and meet this wonderful boy. I guarantee that you will fall in love instantly.” Please don’t let him sit there a minute longer in pain and sick. If you can foster or adopt Finn, hurry and Message our page or email us at MustLoveDogsNYC@gmail.com for assistance. Remember, if you foster, the rescue that pulls pay medical. MY MOVIES Seven, Samosa and Rock Star aka Finn https://youtu.be/9n_vk86r2rk Belly and Rock Star aka Finn https://youtu.be/pgqt6LRIyrc FINN aka ROCK STAR, ID# 60236, 12 Mos., 35 lbs., Neutered Male Manhattan ACC, Medium Mixed Breed, Brown / White Owner Surrender Reason: Shelter Assessment Rating: LEVEL 1 Medical Behavior Rating: MEDICAL EXAM NOTES 8-Jun-2019 Per Dr. 1379 this patient was administered 1ml of Buprenorphine at 9:33 pm on 6/7 7-Jun-2019 Tech Exam. Temp: 101.7 F at 2:50 PM 7-Jun-2019 Progress Exam. Subjective Observations: hx of pneumonia and mandibular swelling. Had work up at referral hosp and cause of mandibular swelling has not been diagnosed definitively. Ate well overnight. BAR in kennel. Large, firm painful mandibular swelling rostral mandible. Dried mucoid nasal d/c present at both nares. Assessment: CIRDC +/-pneumonia, mandibular swelling. PLAN: Sedated mandible and chest rads. Chest rads no apparent consolidation of lung lobes. R/o pneumonia responsive to treatment. Lateral and VD skull rads show large lytic bone lesion on mandible. R/o infection v neoplasi v inflammatory. rec bone biopsy v continue treatment. 7-Jun-2019 Tech Exam. Sedated Finn with 0.3 mL butorphanol, 0.3 mL dexdomitor and 0.2 mL midazolam IM at 10:33 AM as per DVM 1697 for chest and jaw radiographs. Administered additional 0.3 mL dexdomitor at 11:07 AM. Uploaded rads to SB. 6-Jun-2019 Blood Work Interpretation. CBC: -Monocytosis (severe)-r/o chronic infection vs. inflammation vs. neoplasia, -Eosinopenia, Chemistry: -Hyperphosphatemia, -Hypochloremia, -Hyperglobulinemia. 6-Jun-2019 Tech Exam. Per Dr. 1379, did not administer Pyrantel and Trazadone due to oral condition. 6-Jun-2019 Tech Exam. Administered Buprenorphine 0.3 mg/ml 1ml IM @ 6:40PM. Administered Clavamox 250 mg 1T in vienna sausage and Enrofloxacin 204 mg 1T in vienna sausage. Performed CBC/Chem. 6-Jun-2019 DVM Intake Exam. Estimated age: 1 year. Microchip noted on Intake? Yes, previously placed at MACC. Microchip Number (If Applicable): History : Owner surrender. Adopted back in April. When adopted he had a fever, swollen jaw with blood-tinged saliva, a cough and red eyes. Was taken to vet and also specialty clinic (see uploaded documents). He was diagnosed with pneumonia and tested positive for Boredetella, Herpesvirus, pneumovirus and Respcorona virus. He was hospitalized for a few days on IV fluids, antibiotics and nebulization. Eventually was sent home on oral antibiotics (Clindamycin, enrofloxacin) and Rimadyl. A sedated oral exam was performed and possible FNA and cytology was performed of jaw swelling? (no records of results). Subjective: BAR. Observed Behavior -Very friendly. Wagging his tail. Interested in Vienna sausages and eventually eats them but he is having trouble with mastication and food falls from mouth. Evidence of Cruelty seen -No. Evidence of Trauma seen -No. Objective: T =103 F, P =120 bpm, R =eup, BCS 4/9. EENT: Moderate episcleral injection OU, ears clean, mild to moderate nasal discharge noted. Oral Exam: Severely swollen lower jaw, holds mouth slightly open, mild blood-tinged saliva associated with mandibular teeth, trouble with mastication of food, interested in eating but food falls from his mouth, painful on opening of oral cavity, limited rom of jaw. PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, harsh BV sounds, no obvious crackles or wheezes, actively coughing, no sneezing. ABD: Non painful, no masses palpated. U/G: M/N. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. CNS: Mentation appropriate - no signs of neurologic abnormalities. Rectal: Clean externally. Assessment: -Swollen mandible, trouble with mastication, painful when mouth is opened, limited rom. -Coughing, nasal discharge-r/o CIRDC vs. pneumonia vs. other, -Fever, -Episcleral injection, -Low appetite reported, Prognosis: Fair to good. Plan: -CBC/chem, -Clavamox 250 mg PO BID x 14 days to start (gave first dose this evening, may need to extend past clinical resolution, should be extended for at least 2 weeks past clinical resolution). -Enrofloxacin 204 mg PO SID x 14 days (gave first dose this evening, also may need to extend). -Buprenex 1 mL IM given, -Continue Buprenex 1 mL SQ (0.02 mg/kg dose) BID until otherwise directed, -Move to medical iso, -Needs sedated x-rays tomorrow of jaw and CXR and also a sedated oral exam +/-FNA and cytology of jaw swelling, -May need further work-up at specialty clinic pending blood work and x-rays and other diagnostics. SURGERY: Already neutered ----------------------------------------------- NOTES FIRST STAY / Intake 17-Apr-2019 ROCK STAR, ID# 60236, Unaltered Male Manhattan ACC,, Medium Mixed Breed, Brown / White Surrender Reason: Found Stray / brought in by police, 4/17/2019 Shelter Assessment Rating: LEVEL 1 Medical Behavior Rating: SHELTER ASSESSMENT SUMMARIES: Date of assessment: 18-Apr-2019 Leash Walking Strength and pulling: None Reactivity to humans: None Reactivity to dogs: None Leash walking comments: None Sociability Loose in room (15-20 seconds): Highly social Call over: Approaches readily Sociability comments: Body soft, stays by assessor, jumps up and licks assessor's face Handling Soft handling: Seeks contact Exuberant handling: Seeks contact Comments: Body soft, leans into pets Arousal Jog: Follows (loose) Arousal comments: None Knock: Approaches (loose) Knock Comments: None Toy: No response Toy comments: None PLAYGROUP NOTES - DOG TO DOG SUMMARIES: 4/17-4/19: When introduced off leash to male and female dogs, Rockstar engages in exuberant play with all. MEDICAL BEHAVIOR: Date of initial: 17-Apr-2019 Summary: Active, allowed handling ENERGY LEVEL: We have no history on Smasher so we cannot be certain of his behavior in a home environment. However, he is a young, enthusiastic, social dog who will need daily mental and physical activity to keep him engaged and exercised. We recommend long-lasting chews, food puzzles, and hide-and-seek games, in additional to physical exercise, to positively direct his energy and enthusiasm. BEHAVIOR DETERMINATION Level 1 Behavior Asiloma H - Healthy MEDICAL EXAM NOTES 7 FIRST STAY 7-May-2019 Tech Exam, unable to do vet treatment due to offsite in vet hospital 2-May-2019 Tech Exam. Vet treatments (Da2pp annual, pyrantel, reweigh) skipped 5/2/19 due to patient being off-site at Vet Hospital 29-Apr-2019 Progress Exam. Received call from DVM at Manhattan Vet Group (212-988-1000). Owners report: -Nasal discharge, moist cough, red eyes x 1 week. -Anorexia x 1 day, -Red tinged, malodorous drool, -Discomfort when touching face DVM findings: -Dehydrated, -swollen chin, -nasal, discharge, -harsh lung sounds, -104.3 F temp, -QAR -hypersalivating, -suspect pneumonia, Needs: rads, sedated oral exam, further hospitalization Forwarded info to Placement Senior Mana, ement for follow up 20-Apr-2019 Spay/Neuter Summary, Pre-surgical exam, anesthesia, and surgery performed by ASPCA. Green linear tattoo placed lateral to incision. Start on 1 tablet of rimadyl 75 mg SID PO for 2 days. 17-Apr-2019 DVM Intake Exam. Estimated age: 7months year based on condition of teeth. Microchip noted on Intake? no. Microchip Number (If Applicable): N/A. History : stray brought in by police. Subjective: BAR, Observed Behavior -relaxed body posture; energetic; wants to lick and lick. Evidence of Cruelty seen - no. Evidence of Trauma seen - no. Objective: P =120hr, R =40rr, BCS 7/9. EENT: Eyes clear, ears clean, no nasal or ocular discharge noted. Oral Exam: NSF. PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic. ABD: Non painful, no masses palpated U/G: MI w/ 2 down. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. CNS: Mentation appropriate - no signs of neurologic abnormalities. Assessment: apparently healthy. Prognosis: good. Plan: complete intake procedures SURGERY: Okay for surgery 17-Apr-2019 LVT Intake. Microchip Scan: negative, placed. Evidence of Cruelty: no. Observed Behavior: allows all handling Sex: intact male. Estimated Age: reported ~1y Subjective: Stray, no history, seemingly healthy. Eyes: clear. Ears: clean. Oral Exam: no staining. Heart: WNL Lungs: WNL. Abdomen: WNL. Musculoskeletal: WNL BCS 5.5/9. Mentation: BARH. Preliminary Assessment: seemingly healthy. Plan: DVM intake *** TO FOSTER OR ADOPT *** HOW TO RESERVE A “TO BE KILLED” DOG ONLINE (only for those who can get to the shelter IN PERSON to complete the adoption process, and only for the dogs on the list NOT marked New Hope Rescue Only). Follow our Step by Step directions below! *PLEASE NOTE – YOU MUST USE A PC OR TABLET – PHONE RESERVES WILL NOT WORK! ** STEP 1: CLICK ON THIS RESERVE LINK: https://newhope.shelterbuddy.com/Animal/List Step 2: Go to the red menu button on the top right corner, click register and fill in your info. Step 3: Go to your email and verify account \ Step 4: Go back to the website, click the menu button and view available dogs Step 5: Scroll to the animal you are interested and click reserve STEP 6 ( MOST IMPORTANT STEP ): GO TO THE MENU AGAIN AND VIEW YOUR CART. THE ANIMAL SHOULD NOW BE IN YOUR CART! Step 7: Fill in your credit card info and complete transaction HOW TO FOSTER OR ADOPT IF YOU *CANNOT* GET TO THE SHELTER IN PERSON, OR IF THE DOG IS NEW HOPE RESCUE ONLY! You must live within 3 – 4 hours of NY, NJ, PA, CT, RI, DE, MD, MA, NH, VT, ME or Norther VA. Please PM our page for assistance. You will need to fill out applications with a New Hope Rescue Partner to foster or adopt a dog on the To Be Killed list, including those labelled Rescue Only. Hurry please, time is short, and the Rescues need time to process the applications.

[clearcreekfamilydentistry02-blog]

Oral Cancer Exam

According to research conducted by the American Cancer Society, more than 30,000 cases of oral cancer are diagnosed each year.  More than 7,000 of these cases result in the death of the patient.  The good news is that oral cancer can easily be diagnosed with an annual oral cancer exam, and effectively treated when caught in its earliest stages.

Oral cancer is a pathologic process which begins with an asymptomatic stage during which the usual cancer signs may not be readily noticeable.  This makes the oral cancer examinations performed by the dentist critically important.  Oral cancers can be of varied histologic types such as teratoma, adenocarcinoma and melanoma.  The most common type of oral cancer is the malignant squamous cell carcinoma.  This oral cancer type usually originates in lip and mouth tissues. There are many different places in the oral cavity and maxillofacial region in which oral cancers commonly occur, including: • Lips • Mouth • Tongue • Salivary Glands • Oropharyngeal Region (throat) • Gums • Face

Reasons for oral cancer examinations It is important to note that around 75 percent of oral cancers are linked with modifiable behaviors such as smoking, tobacco use and excessive alcohol consumption.  Your dentist can provide literature and education on making lifestyle changes and smoking cessation. When oral cancer is diagnosed in its earliest stages, treatment is generally very effective.  Any noticeable abnormalities in the tongue, gums, mouth or surrounding area should be evaluated by a health professional as quickly as possible.  During the oral cancer exam, the dentist and dental hygienist will be scrutinizing the maxillofacial and oral regions carefully for signs of pathologic changes. The following signs will be investigated during a routine oral cancer exam: • Red patches and sores – Red patches on the floor of the mouth, the front and sides of the tongue, white or pink patches which fail to heal and slow healing sores that bleed easily can be indicative of pathologic (cancerous) changes. • Leukoplakia – This is a hardened white or gray, slightly raised lesion that can appear anywhere inside the mouth. Leukoplakia can be cancerous, or may become cancerous if treatment is not sought.

• Lumps – Soreness, lumps or the general thickening of tissue anywhere in the throat or mouth can signal pathological problems. Oral cancer exams, diagnosis and treatment The oral cancer examination is a completely painless process.  During the visual part of the examination, the dentist will look for abnormality and feel the face, glands and neck for unusual bumps.  Lasers which can highlight pathologic changes are also a wonderful tool for oral cancer checks.  The laser can “look” below the surface for abnormal signs and lesions which would be invisible to the naked eye.

If abnormalities, lesions, leukoplakia or lumps are apparent, the dentist will implement a diagnostic impression and treatment plan.  In the event that the initial treatment plan is ineffective, a biopsy of the area will be performed.  The biopsy includes a clinical evaluation which will identify the precise stage and grade of the oral lesion.

Oral cancer is deemed to be present when the basement membrane of the epithelium has been broken.  Malignant types of cancer can readily spread to other places in the oral and maxillofacial regions, posing additional secondary threats.  Treatment methods vary according to the precise diagnosis, but may include excision, radiation therapy and chemotherapy.

During bi-annual check-ups, the dentist and hygienist will thoroughly look for changes and lesions in the mouth, but a dedicated comprehensive oral cancer screening should be performed at least once each year.

If you have any questions or concerns about oral cancer, please contact our practice.

For more details on our products and services, please feel free to visit us at lumineer veneers,  tricare dentist, affordable dentist near me, dental insurance & affordable dentistry

[amarendraalapati1-blog]

Where Are Oral Cancers Most Commonly Found In The Mouth?

What is oral cancer?

Oral cancer also known as jaw cancer, is a cancerous growth located within the oral cavity. The cause is a gene that has the ability to mutate at high levels. Over 75% of oral cancers are linked to tobacco and alcohol. It first appears as a growth or sore in the mouth that does not go away. It may also appear as a lesion that has attached itself to the tissues of the mouth. Oral or mouth cancers most commonly involves the tongue.

 Where are they commonly found?

Mouth cancer occurs where a tumor develops in the lining of the mouth. The most common areas are the tongue surface, inside of the cheeks, on the roof of the mouth or on the lips and gums. Other areas include saliva glands, the tonsils at the back of the mouth and the Pharynx which is the part of the throat that connects your mouth to your windpipe.

 What are the symptoms?

● The unhealing of ulcers over a period of 2-3 weeks

● Lumps that do not disappear

● Unexplained persistent lumps in the neck

● Loose teeth or sockets

● Numbness or an odd feeling on the lips or tongue

● White or red patches on the lining of the mouth or tongue

● Changes in speech, such as a lisp

If the above symptoms do not disappear or heal within 2-3 weeks, it is advised that you seek immediate medical or dental help. You are put into a higher risk bracket if you are a heavy drinker or smoker.

    Types of mouth cancer

9 out of 10 cases of mouth cancer (jaw cancer) are diagnosed with the most common type of mouth cancer known as Squamous Cell Carcinoma. It is found throughout the body, including the head and skin. Less commonly found mouth cancers are:

● Adenocarcinomas, a cancer of the saliva glands

● Sarcomas, cancer of the bone, muscle or other body tissue

● Oral Malignant Melanomas, cancer of the skin pigment cells

● Lymphomas, cancer of the lymph glands, but can develop in the mouth.

 Treatments

Currently there are three treatment options available for mouth cancer:

● Surgery, where cancerous cells are surgically removed with surrounding tissue to make sure the total removal was a success and to prevent future cases.

● Radiotherapy, high energy x-rays are used to kills the cancerous cells

● Chemotherapy, medications are used to kill the cancerous cells

The above treatments are often used together. A common example of this is where surgery may be followed by a course of radiotherapy or chemotherapy.

 Preventions

● Do not smoke

● Do not exceed the recommended 14 units of alcohol per week

● Eat a healthy diet consisting of fresh vegetable, fresh fruits, citrus fruits, tomatoes, olive oil and fish.

Please note that if mouth cancer is diagnosed early, 90% of cases can be cured by surgery alone. It is advised to have regular routine checkups every 6 months and every 3-6 months if you are over 40 years of age.

 References:

1. http://www.nhs.uk/conditions/cancer-of-the-mouth/pages/introduction.aspx

2. http://www.webmd.com/oral-health/guide/oral-cancer#1

3. https://en.wikipedia.org/wiki/Oral_cancer

[vasanthasworld]

Red And White Lesions Long Essays

[bloojayoolie]

9/11, Apparently, and Cats: YOUNG AT HEART! CHAMP ID 40816, a 8 Yrs., 82 lbs of Joy Wating for YOU Brooklyn ACC TO BE KILLED – 9/18/2018 “If you still think you're a young pup then you are, no matter what the calendar says” ― John Grogan, Marley and Me Who said old dogs can’t learn new tricks or be as dapper as you please? No one told Champ, and he can rock a blue bowtie like nobody’s business. This 8 year young gent is super sweet, mild mannered, happy, joyful and playful. He never stops smiling and boy what a smile! He lights up a room, and he makes you feel like you are the most special person on the planet – and there’s something pretty darn SPECIAL about that! Champ is so deserving of a rescue, more than many dogs we’ve seen, and he is hoping with all his heart you will see him, pick him, and get him to safety ASAP. Champ needs a Champion. How about you? Please? PRIVATE MESSAGE our page or email us at MustLoveDogsNYC@gmail.com for assistance fostering or adopting handsome, happy Champ. A volunteer writes: I think I was left with a glow after I first hung out with Champ -- what a dreamboat! He might have needed a moment or two to warm up, but even if he's being bashful he just radiates sweetness. He comes to us due to housing issues and his previous owner had lots of wonderful things to say about him. He is reported to be friendly with strangers, was relaxed and playful with the resident child, friendly with female dogs, and even tolerant and respectful with cats! He has been very easy to handle on our walks and is mostly very low key, but does get adorable playful bursts. He romps after balls (and apparently also likes to play with rocks -- Mr. Resourceful!), jumps up for treats (and then sits perfectly and patiently for them), and catches mini bouts of the zoomies. He wags his tail when I talk to him, appreciates petting, and has the sweetest subtle smile and kindest eyes. Please come meet him at Brooklyn ACC and make him your sidekick! VIDEO: Champ <3 https://youtu.be/qa_qJ32_hwQ CHAMP, ID # 40816, @ 8 Yrs. Old, 82.5 lbs. Brooklyn ACC, Large Mixed Breed, Brown / White, Neutered Male Owner Surrender Reason: reason stated as person circumstance- homeless. Behavior Assessment Date of intake:: 9/6/2018 Spay/Neuter status:: Yes Means of surrender (length of time in previous home):: Owner surrender Previously lived with:: Adults, 1 child (11 years old) Behavior toward strangers:: Friendly Behavior toward children:: Relaxed and playful Behavior toward dogs:: Friendly with female dogs, may growl at male dogs Behavior toward cats:: tolerant and respectful Resource guarding:: None reported Bite history:: None reported Housetrained:: Yes Energy level/descriptors:: Champ goes for walks at 11am and 8:30pm Date of assessment:: 9/8/2018 Look:: 1. Dog's eyes are averted, with tail wagging and ears back. Allows head to be held loosely in Assessor's cupped hands. Sensitivity:: 1. Dog stands still and accepts the touch, eyes are averted, and tail is in neutral position with a relaxed body posture. Dog's mouth is likely closed for at least a portion of the assessment item. Tag:: 1. Dog follows at the end of the leash, body soft. Paw squeeze 1:: 1. Dog gently pulls back his/her paw. Paw squeeze 2:: 1. Dog gently pulls back his/her paw. Toy:: 1. No interest. Summary:: Champ was loose, and social allowing all handling. He was a bit timid but remained neutral. Champ showed no interest in the toy item. Summary (1):: According to Champ's previous owner, Champ is social with female dogs but is uncomfortable with males. Here at the Care Centers, Champ is uncomfortable with novel dogs. He pinned the female greeter when she attempted to sniff his rear. The Behavior Department recommends that Champ be the only dog at this time. 9/7: When off leash at the Care Centers, Champ is uncomfortable and avoids the novel greeter. He quickly closes his mouth when she sniffs him and tenses his body. 9/11: Today Champ was introduced to a calm female dog. He briefly displayed perked ear, and high wagging tail then lunged and pinned the greeter to the floor. He immediately moved away when interrupted and his session was ended. Date of intake:: 9/6/2018 Summary:: Champ is friendly and allowed all handling. ENERGY LEVEL:: His previous owner describes Champ as an friendly relaxed dog. Champ displayed medium energy and movement throughout assessment, and will need daily mental and physical activity to keep him engaged and exercised. BEHAVIOR DETERMINATION:: AVERAGE (suitable for an adopter with an average amount of dog experience) Behavior Asilomar: H - Healthy Recommendations:: Single-pet home,Recommend no dog parks Recommendations comments:: Single-pet home/Recommend no dog parks: Due to the concerning behaviors that Champ has shown at home and during playgroup (see GROUPBEHAVIOR SUMMARY), we feel that Champ should not visit dog parks and be the only resident dog. The Behavior Department recommends that he be socialized in a more controlled setting, under the supervision of a behaviorist, until his behavior towards other dogs can be further addressed. Reward-based, force-free training can be utilized to help Champ associate dogs with things he enjoys like toys or treats. My medical notes are... Weight: 82.5 lbs Vet Notes L V T Notes 12/09/2018 DVM Intake Exam Estimated age: 7 years according to o Microchip noted on Intake? positive 985121013121999 History : o/s Subjective: BARH. Coughing and sneezing with nasal d/c Observed Behavior - High energy and difficult to handle. Muzzled for vaccines. Did well for all medical handling and procedures. Evidence of Cruelty seen - no Evidence of Trauma seen - no Objective P = wnl R = eupneic BCS 6/9 EENT: Eyes have early nuclear sclerosis ou, no ocular d/c, ears clean, mild serous nasal discharge noted Oral Exam: adult dentition, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic, coughing and sneezing ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate - no signs of neurologic abnormalities Assessment: Geriatric-Apparently healthy CIRDC Plan: Continue to monitor while at BACC Move to iso, recheck day 7 Start doxycycline 10mg/kg PO SID x14d until 9/26 Start baytril 10mg/kg PO SID x14d until 9/26 Prognosis: Good SURGERY: neutered 14/09/2018 H: Monitor appetite S: QAR. Consistent coughing. No svd. Ate a small amount of food Eyes: Unremarkable OU Ears: Unremarkable AU. Nasal Cavity: Mild serous nasal discharge Lungs: Eupneic U/G: Normal external genitalia. No discharge. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. BCS = 5/9 Integument: Otherwise unremarkable haircoat. Neuro: Appropriate mentation. Rectal: Not performed. Externally normal. Assessment: Geriatric CIRDC Plan: recheck day 7 Start offering a variety of foods and note appetite- if still not eating well, start supportive care Continue doxycycline 10mg/kg PO SID x14d until 9/26 Continue baytril 10mg/kg PO SID x14d until 9/26 15/09/2018 Per treatment assistant: Patient not taking medication. Elected to switch to injectable baytril to ensure getting medication 16/09/2018 Progress exam History : o/s 9/12-started on baytril and doxycycline for CIRDC. 9/15-switched to inj baytril due to not eating. Subjective: QAR. Coughing and sneezing with nasal d/c. Not eating. Objective: EENT: serous nasal d/c bilaterally, no ocular d/c ou L: Eupneic, normal RR/RE but sneezing and coughing MSI: Ambulatory x 4, good haircoat CNS: mentation appropriate - no signs of neurologic abnormalities Assessment: Geriatric-Apparently healthy CIRDC Plan: Continue to monitor while at BACC Iso Continue doxycycline 10mg/kg PO SID until 9/26 Continue baytril 10mg/kg IM SID until 9/26 Start LRS 20ml/kg SQ SID x3d until 9/18 Start cerenia 1mg/kg SQ SID x3d until 9/18 Recheck 9/18 +/- CXR and BW Prognosis: Good 17/09/2018 Progress exam History : o/s 9/12-started on baytril and doxycycline for CIRDC. 9/15-switched to inj baytril due to not eating. 9/16-started SQF and cerenia for decreased appetite. Subjective: QAR. Noted overnight to be coughing and lethargic. Temp was 101F with normal RR and pulse. Today he is still not eating and is very quiet and lethargic. Objective: EENT: serous nasal d/c bilaterally, no ocular d/c ou L: Eupneic, normal RR/RE but coughing MSI: Ambulatory x 4, good haircoat CNS: mentation appropriate - no signs of neurologic abnormalities Assessment: Geriatric-Apparently healthy CIRDC Decreased appetite Plan: Continue to monitor while at BACC Iso Continue doxycycline 10mg/kg PO SID until 9/26 Continue baytril 10mg/kg IM SID until 9/26 Continue LRS 20ml/kg SQ SID until 9/18 Continue cerenia 1mg/kg SQ SID until 9/18 Recheck 9/18 BW pending 2 view CXR-mild diffuse bronchointerstitial pattern, no overt signs of pneumonia. Cardiac silhouette appears wnl. Prognosis: Good to poor 17/09/2018 CBC-leukocytosis 26.05 (5.05-16.76), neutrophilia 19.77 (2.95-11.64), monocytosis 2.04 (0.16-1.12), platelet clumping, band neutrophils suspected Chem-nsf T4-wnl *** TO FOSTER OR ADOPT *** HOW TO RESERVE A “TO BE KILLED” DOG ONLINE (only for those who can get to the shelter IN PERSON to complete the adoption process, and only for the dogs on the list NOT marked New Hope Rescue Only). Follow our Step by Step directions below! *PLEASE NOTE – YOU MUST USE A PC OR TABLET – PHONE RESERVES WILL NOT WORK! ** STEP 1: CLICK ON THIS RESERVE LINK: https://newhope.shelterbuddy.com/Animal/List Step 2: Go to the red menu button on the top right corner, click register and fill in your info. Step 3: Go to your email and verify account Step 4: Go back to the website, click the menu button and view available dogs Step 5: Scroll to the animal you are interested and click reserve STEP 6 ( MOST IMPORTANT STEP ): GO TO THE MENU AGAIN AND VIEW YOUR CART. THE ANIMAL SHOULD NOW BE IN YOUR CART! Step 7: Fill in your credit card info and complete transaction HOW TO FOSTER OR ADOPT IF YOU *CANNOT* GET TO THE SHELTER IN PERSON, OR IF THE DOG IS NEW HOPE RESCUE ONLY! You must live within 3 – 4 hours of NY, NJ, PA, CT, RI, DE, MD, MA, NH, VT, ME or Norther VA. Please PM our page for assistance. You will need to fill out applications with a New Hope Rescue Partner to foster or adopt a dog on the To Be Killed list, including those labelled Rescue Only. Hurry please, time is short, and the Rescues need time to process the applications.