JAYJAY – 8690
Safe - 10-8-2017 Manhattan
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JAYJAY – 8690
**SAFER: AVERAGE HOME**
|Animal Name: Jay Jay||Age: 10 Years (approx)|
|Tag Number:||Breed: Wirehaired Jack Russell|
|Gender: Male||Spayed / Neutered: No|
|Date of intake:||3-Oct-2017|
|Means of surrender (length of time in previous home):||Owner Surrender (In home for 3 years)|
Vet Notes: 12:17 PM [DVM Intake]
Estimated age:reported to be 10 years; age consistent with exam
Microchip noted on Intake? History :owner surrender; owner states that he had him for approximately 3 years and that jay jay has a history of inappropriately urinating in the house; Subjective:QAR; Observed Behavior -docile and friendly, allows handling; Evidence of Cruelty seen -in grown toe nail on digit III, LF Objective; BCS=4/9; EENT: Eyes clear, ears clean, no nasal discharge noted; Oral Exam:mm pk, sl tacky; CRT <2 sec; severe dental tartar; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G:male intact; prostate severely enlarged but smooth, soft and nonpainful; 2 scrotal testicles that palpate normally; MSI: Ambulatory x 4, skin free of parasites, no masses noted, mildly thing hair coat along caudal hindlimbs; severely in grown toe nail on digit III of LF; corresponding wound appears somewhat chronic with granulation tissue present; CNS: mentation appropriate – no signs of neurologic abnormalities; Rectal:enlarge prostate; feels smooth and uniform, soft and nonpainful; Assessment; History of inappropriate urination-r/o secondary to prostatomegaly vs other; Prostatomegaly-r/o BPH vs neoplasia; Dental Disease; In grown toe nail; Prognosis:fair to good; suspect BPH which should resolve with neuter; Plan: Convenia 0.7 ml SQ; Carprofen 50 mg/ml: 0.6 ml SQ; Monitor wound to ensure appropriate healing; CBC/chem, neuter if WNL; SURGERY: Okay for surgery
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