CEDAR – 32673
Safe - 7-6-2018 Manhattan
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SAFE 07/06/18
CEDAR – 32673
Location: Manhattan, Intake Date: 6/28/18, Intake Type: Stray
Medical Behavior: –, Sex: Unknown, Age: 10 years, Weight: — lbs
Original Location: 10457
DVM Intake Exam; Estimated age: 10 -14; Microchip noted on Intake? n; History : Stray; Subjective: Matted, unkempt; Observed Behavior – allowed for full PE; Evidence of Cruelty seen – yes; Objective ; T = -; P = wnl; R = 60 – panting – Discomfort; BCS = 5/9; EENT: Eyes clear, ears clean, no nasal or ocular discharge noted; Oral Exam: Dental disease, edentulous, calculus +2; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic;. ABD: Caudal abdomen eyrethma/pyoderma, Non painful, no masses palpated; U/G: Suspect Intact. Matting covering abdomen. MSI: Marked matting on hair below eyes, pectorals, abdomen and urogential region; Paresis (lying on side alot/lateral), Maggots (myiasis) seen on matted hair over urogenital region, Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. Overgrown nails; CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal: externally normal; Assessment; 1) Severe Matting; 2) Myiasis ; 3) Tachypnea – Panting (Painful?); 4) Paresis – Painful?; 5) Dental disease; Prognosis: Fair; Plan: + Analgesia – 1ml Onsior SQ SID for 3 days, 1ml Buprenorphne IM BID for 24 hrs + Capstar treatment Once only + Sedated groom to remove matts + Convenia 1ml SQ Once only ; SURGERY: Permanent waiver due to age
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