CHARLIE – A1110497

CHARLIE – A1110497

MALE, WHITE, MALTESE MIX, 9 yrs
STRAY – EVALUATE, HOLD FOR ID Reason STRAY
Intake condition GERIATRIC Intake Date 04/29/2017, From NY 11229, DueOut Date 05/07/2017

Medical Behavior Evaluation GREEN
Medical Summary  Estimated age: 8-9 Microchip noted on Intake? None  Stray Subjective: QAR nervous but allows all medical handling  T = N/A P = 130 R = pant BCS 4/9 EENT: Eyes clear, brown staining OU, ears clean, no nasal discharge noted Oral Exam: mm pink and moist. severe dental tartar w/gingivitis and halitosis. several loose incisors. mild gingival recession PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: testicles symmetrical and descended MSI: Ambulatory x 4, skin free of parasites, no masses noted, overgrown hair coat w/ few mats CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: moderately enlarged prostate, brown formed stools, no masses or bleeding Assessment: Geriatric healthy intact male moderate prostatomegaly stage III-IV periodontal disease Plan: Rec dental consultation, cleaning and extractions w/dental xrays Rec senior wellness bw Rec neuter Rec annual veterinary visit Prognosis: Fair SURGERY: Okay for surgery Temporary waiver due to Permanent waiver due to Age
Weight 6.8

 

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