DAHLIA – A1109522
Urgent - Brooklyn
SUPER URGENT 04/21/2017
DAHLIA – A1109522
FEMALE, WHITE / BROWN, SHIH TZU MIX, 10 yrs
STRAY – EVALUATE, NO HOLD Reason STRAY
Intake condition UNSPECIFIE Intake Date 04/21/2017, From NY 11223, DueOut Date 04/24/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Intact female Estimated age: 10 years Microchip noted on Intake? negative History : Stary dog Subjective: Female intact geriatric dog with mammary glantumor. Observed Behavior – Calm, friendly Evidence of Cruelty seen – NAF Evidence of Trauma seen – None Objective T = Not taken P = 140 bpm R = 25 bpm BCS5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: missing teeth, tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, Mammary gland tumor U/G: intact female MSI: Ambulatory x 4, skin free of parasites, no masses noted, matted hair CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: Not performed Assessment Matted hair Mammary gland Geriatirc Dental tartar Plan Pyrantel, activyl, HW- negative, Microchipped, Flea prevention Mammary gland tummor can be removed. Prognosis: Fair Permanent waiver due to geriatric.
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