JACE aka ACE – 25114

JACE aka ACE – 25114

Location: Manhattan; Intake Date: 4/13/18; Intake Type: Stray;  Medical Behavior:

Red; Sex: Male; Age: 3 years; Original Location: 11434; Weight: 75 pounds

Vet Notes: 1:06 PM- DVM Intake Exam: Estimated age: 3yrs based on dentition  Microchip noted on Intake? scanned negative by LVT on intake.   History : found tied to a pole. Subjective / Observed Behavior – hard barking and lunging in kennel.  Objective:  sedated exam performed.  BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: dc 1/5; pd 1/5.  PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact male. testicles smooth and symmetrical.   MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; self inflicted puncture wound along the left ventral labia, bleeding. no pocketing .  CNS: Mentation appropriate – no signs of neurologic abnormalities. Rectal: grossly normal
Assessment:  dental calculus  periodontal disease  intact male.  wound along L ventral labia
Prognosis: fair  Plan: flushed and probed wound with chlorhexidine solution, no pocketing.  await behavioral assessment.   trazodone 300mg PO q12h  SURGERY:  Okay for surgery

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