KAREN – 23635

KAREN – 23635

Location: Manhattan; Intake Date: 3/24/18; Intake Type: Stray

Medical Behavior: Blue; Sex: Female; Age: 10 years; Weight: 11.6 lbs

Zip Code: 11211

Vet Notes: 11:30 AM: DVM Intake Exam:  Estimated age: 10. Microchip noted on Intake? No. Microchip Number (If Applicable)  History : Stray Subjective: BAR, S++. Observed Behavior – Very nervous. Objective: T = 100.9P = 104 R = BCS 4/9. EENT: NS OU, mild epiphora OU, ears clean, mild nasalserous dc.  Oral Exam: does not tolerate exam- severe dental tartar, recessed gingiva, halitosis, did not see a communication to external wound on the upper lip. PLN: No enlargements noted. H/L: no obv murmur, NSR, NMA, CRT < 2,  Lungs clear, eupniec did not appreciate wheezes or crackles ABD: tense but Non painful, no masses palpated. U/G: enlarged teats and vulva, no vaginal discharge. MSI: Ambulatory x 4, skin free of parasites, no masses noted, appropriate hair coat 1cm open wound ventral to right eye- with scab on top, bloody purulent discharge underneath, did not appreciate commnication to oral cavity but difficult to assess. CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: normal externally. Assessment: R facial wound r/o infected wound vs other. Severe dental disease. CIRDC Intact female Geriatric   Prognosis: Fair  Plan: Clavamox 62.5 mg PO BID x 10 days   SURGERY:  Okay for surgery   Temporary waiver due to   Permanent waiver due to age

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