ATARI – 19039

ATARI – 19039

15 yr. spayed white small dog, stray, 9 pounds:

DVM Intake Exam; Estimated age: ~15 years; Microchip noted on Intake? negative; History : stray; Subjective: BARH. Coughing and wheezing during exam.; Observed Behavior -Allowed all medical handling. Did well for medical procedures and exam.; Objective ; P =wnl; R =wnl, panting; BCS= 4/9; EENT: Eyes have mature cataracts OU, blind, no ocular d/c, ears clean, no nasal discharge noted; Oral Exam: severe dental disease, pink mm; PLN: No enlargements noted; H/L: NSR, Grade 6/6 HM, CRT < 2, Lungs clear, eupneic but is wheezing; ABD: Non painful, no masses palpated, distended; U/G: FS, large spay scar seen and palpated, no MGTs, no vulvar d/c; MSI: Ambulatory x 4, skin free of parasites, no masses noted, dirt feces covered hair coat with overgrown nails, matted; CNS: Mentation appropriate – no signs of neurologic abnormalities, some circling to the left in the cage; Assessment: Geriatric-suspect underlying condition; Grade 6/6 HM; Wheezing/coughing r/o heart disease vs infectious vs collapsing trachea; Overgrown nails/matted; Mature cataracts/blind; Dental disease; Prognosis: Fair to poor longterm prognosis; Plan: 2 view CXR-overall severely enlarged heart with enlarged pulmonary vessels, geriatric changes to lungs but no pulmonary edema, trachea appears generalized small, lateral view includes abdomen that has generalized decreased serosal detail; Rec cardiology consult; Keep in medical for observation; Rec NH placement and geriatric workup; Trim nails; Shave matts; SURGERY: spayed

Let’s get to know each other a bit more…

Basic Information:  Atari is an approximate 9 year old female small dog. She came in to ACC as a stray.

Behavior Notes:  Upon intake Atari was relaxed and allowed the counselor to collar her and take a photo.

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