MIA – A1081073
Safe - 7-21-2016 Manhattan Rescue: A Long Journey to a New Beginning Animal Rescue Please honor your pledges: http://www.journeyanimalrescue.org/donate.html
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MIA – A1081073
SPAYED FEMALE, TAN / WHITE, CHIHUAHUA SH MIX, 5 yrs
OWNER SUR – EVALUATE, NO HOLD Reason NO TIME
Intake condition EXAM REQ Intake Date 07/13/2016, From NY 10468, DueOut Date 07/13/2016,
Medical Behavior Evaluation YELLOW
Medical Summary Sex: Female Scan: Negative Estimated age: 5 years based on dentition Fleas: No flea dirt noted. Hx: Pt has been shaking her head a lot since the client was given her two days ago S: Cautious, allows exam but nips when I try to listen to her heart. Quiet. Muzzled for vaccines. O: BAR-H, BCS 4.5/9, MMs pink and moist, CRT <2 sec EENT: Crusty ulcerated lesions with waxy discharge AU. No discharge OU, nose. Moderate tartar and gingivitis. PLNs: Not enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation, no masses palpated M/S/I: Amb x4. No skin lesions noted. UG: Female, well-developed vulva so likely intact A: 1. Otitis externa 2. Dental disease Short-term prognosis: Good P: 1. Gave 0.8 ml pyrantel and Activyl 4-14 during exam 2. Clean ears q3 days x4 cleanings 3. Otibiotic AU BID x10 days 4. Long-term care should include dental cleaning and X-rays 1088
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