HOLDEN – 11662
Urgent - Manhattan
SUPER URGENT 11/05/17
HOLDEN – 11662
Location: Manhattan; Intake Date: 11/4/17; Intake Type: Stray
Medical Behavior: Green; Age: 8 years; Sex: Male; Weight: 6 lbs
DVM Intake Exam: Estimated age: approx. 8 yo based on dentition
Microchip noted on Intake? neg History : stray Subjective: BAR, friendly, energetic, ok for medical handling, no signs of aggression Observed Behavior – Objective: T =
P = wnl R = eup BCS 4/9 EENT: dried crusted discharge OU, ears clear, no nasal discharge noted Oral Exam: severe dental disease PLN: mild submandibular LN enlargement H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: cryptorchid, 1 testicle palpated. MSI: Ambulatory x 4, skin free of parasites, no masses noted. Poor hair coat, dirty, matted, hypotrichosis along dorsum. CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally Assessment: geriatric, cryptorchid, hair matted, dental disease. enlarged submandibular LN — r/o secondary to DD hypotrichosis — r/o secondary to hair matting vs old age vs nutritional vs endocrine. Prognosis: good
Plan: bath, shave hair matts, nail trim CBC/chem/T4/UA (can be free catch)
plan for cryptorchid neuter. SURGERY: Okay for surgery Behavior: 11/4: When introduced off leash to other dogs, Holden greets politely then wanders the pen.
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