BARRY – A1112781
Safe - 5-23-2017 Manhattan
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SAFE 05/23/17
BARRY – A1112781
**HOLD FOR LEGAL**
FEMALE, TAN, DACHSHUND MIX, 8 yrs
STRAY – ONHOLDHERE, HOLD FOR LEGAL Reason CRUELTY
Intake condition ILLNESS Intake Date 05/22/2017, From NY 10467, DueOut Date 05/25/2017,
Medical Behavior Evaluation GREEN
Medical Summary 05/22/17 10:30 DVM Intake Exam Estimated age: 7-8 yo female chi/dach cross Microchip noted on Intake? negative History : stray brought in emaciated, cruelty investigation possible Subjective: Observed Behavior – calm, allows full exam, no aggression, eating very well , urinating WNL Evidence of Cruelty seen – possible, emaciated/cachexic Objective T = P = 160 R = eupnic BCS 1/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: significant dental tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female intact, slightly swollen vulva, developed nipples no mammary gl masses palpable, no spay scar or tatoo MSI: Ambulatory x 4, skin free of parasites, no masses noted, rough hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment emaciated Plan feed small frequent meals CBC/Chem Prognosis: good if no underlying disease SURGERY: Temporary waiver due to emaciation
Weight 5.5
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