CHIP – A1111998

CHIP – A1111998

MALE, TAN / WHITE, LHASA APSO MIX, 10 yrs
STRAY – EVALUATE, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 05/14/2017, From NY 11235, DueOut Date 05/17/2017,

Medical Behavior Evaluation YELLOW
Medical Summary DVM Intake Exam Estimated age: 7-10 years Microchip noted on Intake? Scan negative History : Stray Subjective: Allows initial exam, but struggles, squeals and gets very tense for vaccines and blood draw Objective BCS 5/9, MMs pink and moist EENT: OU: Areas of white corneal scarring and pigment keratitis on the dorsal region of the cornea, plus conjunctival injection – no discharge. Ears clean, no nasal discharge noted Oral Exam: Moderate dental tartar with gingival recession. PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Tense, no masses palpated U/G: Male intact, testicles S/S MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: 1. Dental disease 2. Corneal scarring – R/O prominent globes vs. healed ulcers vs. glaucoma vs. other Plan 1. Recommend dental cleaning in the near future, extractions will likely be needed 2. Monitor eyes – recommend tonometry and ophtho workup 3. CBC/chemistry Prognosis: Good SURGERY: Permanent waiver due to age. 1088
Weight 18.4

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