ALFIE – A1110387

ALFIE – A1110387

MALE, WHITE / BLACK, TIBETAN TERR MIX, 8 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition UNSPECIFIE Intake Date 04/28/2017, From NY 10472, DueOut Date 05/01/2017,

Medical Behavior Evaluation BLUE
Medical Summary 04/29/17 14:27 DVM Intake Exam Estimated age: ~8 years Microchip noted on Intake? History : Subjective: Observed Behavior – nervous, panting, allowed exam Evidence of Cruelty seen – neglected condition Objective T = — P = WNL R = WNL BCS 3/9 EENT: lenticular opacity OU (cataract), ears clean AU, noo nasal discharge or CIRDC signs Oral Exam: adult dentition with severe dental disease PLN: No enlargements noted H/L: 4/6 left sided heart murmur, LCE ABD: Non painful, no masses palpated U/G: male intact, 2 scrotal testes MSI: Ambulatory x 4, skin free of parasites, no masses noted, moderately matted haircoat – shaved the largest and dirtiest matts off during exam, no wounds or maggots noted, long overgrown nails CNS: mentation appropriate – no signs of neurologic abnormalities  Assessment ~8 year old MI dog 4/6 heart murmur cataracts matted hairocat long overgrown nails severe dental disease male intact Plan schedule grooming (will likely allow grooming without sedation) and nail trim recommend neuter and dental after placement (waiver due to heart murmur) adopter can pursue ophtho consult for cataract surgery, also recommend cardio consult for echo Prognosis: Fair to Good SURGERY: Permanent waiver due to heart murmur — Microchip: negative, placed 981020019761667 Sex: intact male Age: appx 6-7y Mentation: QARH Eyes: slight opacity Ears: clean Nose: no d/c Teeth: moderate staining with tartar If abnormal BCS: slightly underweight 4.5/9 Skin: WNL Hair Coat: mild mats throughout, mostly over hinds Declawed: N/A Any injuries: no Behavior: allowed handling but tense and nervous, whimpering throughout and whale eye Medication: N/A, preventatives givenDVM Intake Exam
Weight 14.4

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