DIVA – 25211

DIVA – 25211

Care Center Location: Brooklyn; ZIP Code From: 11220

Intake Type: Owner surrender; Medical Behavior: Green; Age: 10 years

Sex: Spayed Female; Weight: 63 lbs

DVM Intake Exam: Estimated age: 10 Microchip noted on Intake? No Microchip Number (If Applicable): History : o surrender. Came in with 25212. Subjective: BAR-H. Long nails. Stilted hip gait. Observed Behavior – Easy to handle, nice. Objective:  T = P = 100 R = eup BCS= 6/9 EENT: Eyes – nuclear sclerosis, PLR +, mild scleral injection, peri-ocular  erythema, pedunculated eyelid mass bottom L eye. Ears clean. No nasal or ocular discharge noted Oral Exam: Mod tartar and tooth wear.  PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: FS – spay scar seen MSI: Ambulatory x 4 but stilted pelvic gait and lean more to left/ grade 1/4 limpRRL. Ortho exam – does not allow extension of R hip but flexion okay, R stifle NSF,LRL – NSF, mild popping R tarsus. Skin free of parasites, no masses noted, healthy hair coat. Long nails – possibly impeding gait some. Corns and marked hyperkeratosis of back paws, no erythema seen.  CNS: Mentation appropriate – no signs of neurologic abnormalities. Rectal:  Assessment: Geriatric.  Long nails. R hip painful – r/o osteoarthritis.  Eyelid mass OS – r/o adenoma  Prognosis: Good esp with good response to arthritic tx.   Plan: Rimadyl 75 mg 1 po sid x 5 days.  SURGERY: Already spayed.

CAME IN WITH:  THOR – 25212 – (NOT URGENT DOG)

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