CHICHI – A1110548
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SAFE 05/04/17
CHICHI – A1110548
NEUTERED MALE, TAN / BLACK, YORKSHIRE TERR MIX, 11 yrs
OWNER SUR – WAITING4PU, NO HOLD Reason ALLERGIES
Intake condition GERIATRIC Intake Date 04/30/2017, From NY 10460, DueOut Date 04/30/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: reported to be 11 Microchip noted on Intake? yes History : owner surrender due to elderly owner Subjective: QAR Observed Behavior – sweet, well mannered; allows handling Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective BCS 6/9 EENT: Eyes clear, ears clean, mild serous nasal discharge Oral Exam: mm pk, moist; CRT <2 sec; underbite; tip fracture of upper L canine; significant tartar build up PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: neutered MSI: Ambulatory x 4 small sebaceous adenoma on L side small ear tag on inner pinna AD mildly thin hair coat along dorsum CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment 1. fractured canine/dental disease Plan Rec’d dental with poss extractions Prognosis: good SURGERY: neutered
Weight 12.3
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