MALTA – A1111137
Safe - 5-15-2017 Brooklyn
[email protected] and they will help answer any questions you may have.
MALTA – A1111137
SPAYED FEMALE, BROWN / WHITE, AM PIT BULL TER MIX, 2 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition UNSPECIFIE Intake Date 05/05/2017, From NY 11225, DueOut Date 05/08/2017
Medical Behavior Evaluation GREEN
Medical Summary Estimated age: 2 yo Microchip noted on Intake: Negative Stray, BAR Evidence of Cruelty seen – Yes Evidence of Trauma seen – None Hydrated; T =Not taken P = 100 R = 24 BCS 5/9 EENT: Eyes clear, ears dirty, (brown discharge) no nasal discharge noted Oral Exam: No dental tartar, all permanent teeth are present, MM Pink and moist, PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Intact female, distended (swollne) nipples (seems that recently had puppies) MSI: Ambulatory x 4, skin free of parasites, no masses noted, dirty hair coat, several sacars and some dermatitis aroun neck CNS: Mentation appropriate – no signs of neurologic abnormalities (full neurologic exam not performed) Rectal: Not performed Assessment 1. Dermatitis 2. Otitis externa AU 3. Large amount of scars around neck Plan/Treatment/Recommendations – Wt:36.8 lb – HWT snap test (negative) – Vaccines (DAPP SQ RFL; Bordetella IN; Rabies SQ RHL) – Dewormed (Pyrantel) – Flea prevention treatment – Microchip place (Between shoulder blades):981020017025158 – Clean both ears and Apply otibiotic AU BID 7 days – Clvamox 250mg #14 Give 1 tab PO BID 7 days Prognosis: Good SURGERY: Okay for surgery
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