BETTY

Description

10/20/26 09:36 Betty is a 10+ year old senior chihuahua who is in need of urgent resuce. She has the following findings on physical exam:- Large pendulous, lobulated mammary mass and 1 smaller mammary nodule- Grade 4/6 left apical systolic heart murmur - no evidence of cough or respiratory distress- Severe end stage 4/4 periodontal disease, in need of dental extractions- Bloody diarrhea (new, 10/20) and has been started on supportive care.Senior bloodwork has been performed and Betty has normal kidney and liver values, and elevated white cell counts indicative of inflammation in the body, possibly from her dental disease or other inflammation.In need of urgent senior rescue for treatment of mammary mass and dental disease, chest x-rays (minimally, to assess heart size, lungs and look for lung metastases from mammary mass) and echocardiogram (if rescue resources allow, to characterize heart disease) recommended prior to anesthesia for mass removal, spay and dental. These procedures may need to be staged to minimize anesthetic time depending on surgeon preference.