NENO – A1112646
Safe - 5-30-2017 Manhattan
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NENO – A1112646
MALE, WHITE, MALTESE / YORKSHIRE TERR, 9 yrs
OWNER SUR – EVALUATE, NO HOLD Reason LLORDNYCHA
Intake condition EXAM REQ Intake Date 05/25/2017, From NY 10462, DueOut Date 05/25/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: Reported 9 years – exam is consistent with this Microchip noted on Intake? Scanned negative, MC placed during exam History : No medical hx given Subjective: Barks repeatedly when left alone in kennel. Allows full exam with soft body. Struggles a little on blood draw. Objective BCS 4.5/9, MMs pink and moist EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Severe tartar PLN: Mandibular LNs are moderately enlarged, but symmetrical. Other LNs are normal. H/L: NSR, NMA, CRT < 2, Coughed several times at the beginning of the exam. ABD: Non painful, no masses palpated U/G: Male intact. Left testicle is inguinal cryptorchid. MSI: Medial patellar luxation – left stifle grade 2/4, right stifle grade 1/4. Skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment 1. Dental disease 2. Cryptorchid 3. Medial patellar luxation Plan 1. Neuter 2. Recommend dental cleaning and consider consultation with orthopedic specialist if pt is lame on RHL Prognosis: Good SURGERY: Okay for surgery 1088
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