╨╧рб▒с>■  (*■   '                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ ┐░jbjbjкjк ╚╚░       ]вввввввццццц Єцэъкмммммм,╫ Ї╦ Р╪в╪║вв║║║юввк╢╬ввввк║Ё║кввк ┴Wц╢цц▓кGroup 11 Ц Facts Document Dog was hit by a car 3 days ago: Indicates cause of current presentation, consider common injuries seen with HBC, and gives time line for progression of injuries/healing of those injuries. 17 month old, intact male, black & tan Doberman Pinscher: Young animal important in terms of bone healing and physeal closure; intact status could have contributed to dog leaving home and being hit by car; large breed dog helps to clarify what parts of the dog would most likely have been hit by the car. In addition, this breed is predisposed to osteosarcoma at this age, but since this is primarily a forelimb neoplasia and we have history of trauma we can rule this out. Past history reveals healthy dog with no know problems: No other obvious historical problems to consider while looking at current case Inside/outside dog: Possible route of escape to be HBC. Consideration for management plan Ц dogТs activity will probably need to be restricted during recovery. Treated with 2 L LRS IV over 48 hrs: corrected probable hypovolemia caused by trauma and subsequent shock. 500 mg prednisolone-sodium succinate IV in two doses over 12 hrs: could have reduced swelling/inflammation. Consider possible immune suppression caused by steroid administration. Consider possible side effects. Duragesic 25 mg/hr for 1st 24 h after accident: could possibly mask pain, watch for side effects Butorphanol 5mg IM: could mask pain, watch for side effects Cefazolin 700mg SC BID on 1st day, then 1000 mg PO BID since: prevent bacterial infections particularly important with bony trauma, watch for side effects. Fed 4 cups Big Red dry dog food daily free choice: consider putting on higher quality diet during recovery Lives with 3 other dogs, 3 horses, 2 ferrets, & 4 rabbits: activity level during recover, need to isolate from other dogs to avoid playing Respiration = 18 breaths/min : Low Ц normal variation Ц could be affected by current medications. Rule out pneumothorax, hemothorax, or other thoracic injuries that would cause increased respiration rate Temperature = 99.3 : Low temperature, possibly caused by hypovolemia, consider other causes Pulse = 60 bpm : Low - normal pulse, BW = 67 lbs : check BCS Ц consider nutritional plane for recovery. Non-wt bearing on hind legs: Superficial/deep pain sensation in both hind legs: Reflex responses in hind legs inconsistent and nonrepetitive: Motor function present in both hind legs & tail: Dewormed 2 weeks ago with pet store dewormer: Distemper/Parvo booster due now: Rabies due next month: Upper L hind leg swollen: Bone continuity of L femur suspect/abnormal movement & crepidation: L hind leg is swollen all the way to toes: Diffuse subcutaneous fluid accumulation in L hind leg: Bone/joint of remainder of L leg seems to be normal: Source of abnormalities could not be precisely located to L femur, hip joint, or pelvis: Joints of R hind leg appear to be normal: Palpable instability of bone of R tibia: R leg swollen distal to stifle: Superficial skin abrasions on lateral side of R hind leg: Tibia does not appear to be continuous in mid shaft area of R tibia: No pain/bone distortions could be palpated along spine: :▄╗ёCUш UХ+ C E Y О а ╠ ч щ  j Ы ╫  c  2 D Р Ю ╣ ─     N Q Н Р ┐ ┬ ю ё (+CFИЛ┤╖ья"%|зк╤╘Єї-0svм░¤¤¤¤¤¤¤∙¤¤¤∙¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤5БH*5БI█▄║╗BCчшTU* + Н О ╦ ╠ i j ╓ ╫ b c 1 2 П Р ╕ ¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤█▄║╗BCчшTU* + Н О ╦ ╠ i j ╓ ╫ b c 1 2 П Р ╕ ╣ ■     P Q П Р ┴ ┬ Ё ё *+EFКЛ╢╖юя$%~йк╙╘Її/0uvоп░G╕ ╣ ■     P Q П Р ┴ ┬ Ё ё *+EFКЛ╢╖юя$%~¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤йк╙╘Її/0uvоп░¤¤¤¤¤¤¤¤¤¤¤¤¤ ░╨/ ░р=!░"░#Ра$Ра%░ [4@ё 4NormalCJOJPJQJmH <A@Є б<Default Paragraph Font░           П░ ░ ╕ ░ ░ KR9EzГ!,\hpy+4ОЩ╠╒╧█▌чlwЫЮ┴─А Н ┬ ╩ ц ю √ } И ▓ :FU` U[YaаиЫж|Бчь@FЫа┴╞▓    Math EmporiumKMacintosh HD:Desktop Folder:Student's Folder:AutoRecovery save of Document1 Math Emporium9Macintosh HD:Desktop Folder:Student's Folder:4facts_a.txt Math Emporium9Macintosh HD:Desktop Folder:Student's Folder:4facts_a.txt Math Emporium9Macintosh HD:Desktop Folder:Student's Folder:4facts_a.txt Math Emporium9Macintosh HD:Desktop Folder:Student's Folder:4facts_a.txt Math Emporium9Macintosh HD:Desktop Folder:Student's Folder:4facts_a.txt Math EmporiumLMacintosh HD:Desktop Folder:Student's Folder:AutoRecovery save of 4facts_a.t Math Emporium9Macintosh HD:Desktop Folder:Student's Folder:4facts_a.txt Math Emporium9Macintosh HD:Desktop Folder:Student's Folder:4facts_a.txt Math Emporium9Macintosh HD:Desktop Folder:Student's Folder:4facts_a.txt @А¤¤ │(¤╞|#░ p@GРTimes New Roman5РАSymbol3Р Arial3РTimes"qИ╨h┌SFl┌SFG╙ !е└┤┤А>0d'd╨  Group 11  Facts Document Math Emporium Math Emporium■  рЕЯЄ∙OhлС+'│┘0xИР┤└╪фЇ  4 @ LX`hp'Group 11 ╨ Facts Document0rouMath EmporiumtsathNormalpMath Emporiumts8thMicrosoft Word 8.0c@j(ы @Ж╕├└╢└@8\╠╢└╙■  ╒═╒Ь.УЧ+,∙о0  hpИРШа и░╕└ ╚ ю'Virginia TechF 'м Group 11 ╨ Facts Document Title ■   ■   ■    !"#$%&■   ¤   )■   ■   ■                                                                                                                                                                                                                                                                                                                                                   Root Entry         └FА.T}в╢└+А1Table        WordDocument        SummaryInformation(    DocumentSummaryInformation8            CompObj            X                        ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■      └FMicrosoft Word Document■   NB6WWord.Document.8