BORA BORA – 24619
Safe - 4-13-2018 Brooklyn
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SAFE 04/13/18
BORA BORA – 24619
Care Center Location: Brooklyn; ZIP Code From: 11208; Intake Type: Stray
Medical Behavior: Yellow; Age: 3 years; Sex: Male; Weight: 55 lbs
DVM Intake Exam: Estimated age:3y. Microchip noted on Intake? none History : found by police officers wandering street. Subjective: crouched in cage, shaking Observed Behavior – very nervous, crouched in cage and during exam, very stiff, unable to walk. fearful. Objective: T = P = 80 R = 20 BCS 3/9 EENT: right eye has a cherry eye, mild mucoid discharge OD; OS clear, ears clean, no nasal or ocular discharge noted Oral Exam: limited exam; muzzled- clean incisors PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact male, smooth and symmetrical MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities. Rectal: clean on assessment. Assessment; cherry eye OD, underweight. Prognosis: good Plan: start neo-poly dex ointment BID; given in exam, add a third feeding, schedule surgery, recommendation for adopter to follow up with cherry eye surgery. SURGERY: Okay for surgery
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