MCCREE – A1111145
Safe - 5-8-2017 Manhattan
[email protected] and they will help answer any questions you may have.
MCCREE – A1111145
MALE, WHITE / GRAY, MALTESE MIX, 5 yrs
STRAY – STRAY WAIT, HOLD RELEASED Reason STRAY
Intake condition EXAM REQ Intake Date 05/05/2017, From NY 10456, DueOut Date 05/08/2017
Medical Behavior Evaluation GREEN
Medical Summary Estimated age: 5yr Microchip noted on Intake? none Found walking on the streets QAR to BAR Observed Behavior – difficulty seeing, no aggression Evidence of Cruelty seen – yes Evidence of Trauma seen – no T = not taken P = 138 R = 28 BCS 5/9 EENT: OS- enophthalmia with conjunctivitis, OD microopthlamia with conjunctivitis- but limited ability to examine d/t severe mats around face and ears, ear canals appear clean, no nasal discharge noted. P has difficulty seeing, so was reluctant to walk Oral Exam: mild tartar moderate gingivitis, pink gums PLN: could not assess all because of severe mats H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: one testicle found, severe matting cannot determine if other elsewhere under mats MSI: Ambulatory x 4, skin free of parasites, no masses noted but,severe generalized mats all over body, making it not possible to fully examine skin , llnn, eyes, and both testicles. Wet fur (raining outside), malodorous CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment severe matting one testicle palpable OS: enophthalmia, OD- micropthalmia, OU conjunctivitis concerns of cruelty Plan set up for grooming, save clippings emailed cruelty group and emailed photos OU erythromycin BID x7 days check app possible cryptorchid re exam after grooming for more complete exam Prognosis: good, unless something revealed after exam post grooming long term rec dental px, although may not see well, can lead a good quality of life even with limited or no vision; rec that o keeps furniture in same place, and make easy access to food and water SURGERY: temporary waiver until groomed and fully assessed- d/t condition
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