MAPLE – A1110494
Safe - 5-2-2017 Brooklyn
MAPLE – A1110494
FEMALE, WHITE / TAN, PEKINGESE MIX, 10 yrs
STRAY – EVALUATE, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 04/29/2017, From NY 11369, DueOut Date 05/02/2017,
Medical Behavior: DVM Intake Exam Spayed female Estimated age: 10 years. Microchip noted on Intake? negative History: Owner surrender.Subjective: Geriatric female spayed dog Observed Behavior – afraid. Objective: P =100 bpm R = 24 bpm BCS 5/9. EENT: Bilateral catarracts, corneal pigmentation OD, OS seem to be enlarged, Blid os OS pupil enlarged, ears clean, no nasal discharge noted. Oral Exam: Dental disease. PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic. ABD: Non painful, multiple mammary tumors. U/G: Spayed female. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. Thick/ overgrown third digit nail (left forelimb) CNS: mentation appropriate – no signs of neurologic abnormalities. Rectal: Not performed.
Assessment: cattaracts enlargedt left eye corneal pigmentation. Blind OD. Enlarged nail Dental tartar. Mammary tumors.
Plan: triple antiobiotic ointment BID OU for 10 days. Fluorecein stain and tonopen.Prognosis: fair. Permanent waiver due to geriatric condition.
Finder found Maple this morning around 7AM outside of her house. She saw Maple limping due to an out grown nail so she decided to bring her inside her house with her husband. Then after work brought the dog to BACC. Maple did not have any collar or tags. husband fed Maple Blue Buffalo dry dog food and bathe her. The remainder of the day, Maple laid down in a corner of the living room. Finder’s home had another small 7 year old dog and Maple growled at the other dog. There were no children in the home, only adults. Maple did not try to bite or lunge at anyone in the lobby or in finder’s home.During intake Maple’s body was tense and her tail was tucked. There was a large dog in the lobby and she did not react to his presence. Maple allowed me to collar, scan, and leash her.
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