MAPLE – 10073
Safe - 11-13-2017 Brooklyn
MAPLE – 10073
Location: Brooklyn Intake Date: 10/18/17 Intake Type: Stray
Medical Behavior: Green Age: 11 years Sex: Female. Weight: 6 lbs
Medical:: 10/18/17 Vet Notes: 6:15 PM; Estimated age: 10 years; Microchip noted on Intake? no; History : stray; Subjective: BAR, hydrated; Observed Behavior – friendly, allows exam/treatments with minimal restraint. Objective P = 120 R =wnl BCS: 4/9; EENT: Eyes clear, ears clean, no nasal or ocular discharge noted; Oral Exam: missing most of her teeth, tartar on remaining teeth. PLN: No enlargements noted; H/L: NSR, 4/6 holosystolic heart murmur, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: female spayed, no mgts or dc; MSI: Ambulatory x 4,thin, skin free of parasites, no masses noted, healthy hair coat. overgrown nails. CNS: Mentation appropriate – no signs of neurologic abnormalities; Assessment: heart murmur; oligodontia/periodontal disease; Prognosis: good; Plan: start on doxycycline for periodontal disease; recommend cardiac evaluation; recommend periodontal therapy if possible; continue to monitor at ACC; SURGERY: already altered
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