CUPCAKE – A1126503
Safe - 9-28-2017 Manhattan
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SAFE 09/28/17
CUPCAKE – A1126503
FEMALE, WHITE / TAN, SHIH TZU MIX, 10 yrs
STRAY – ONHOLDAVAI, HOLD FOR ID Reason OWNER SICK
Intake condition GERIATRIC Intake Date 09/25/2017, From NY 10460, DueOut Date 09/28/2017,
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: 8-10 Microchip noted on Intake? n History : o passed. relative reported 10 years Subjective: Observed Behavior – head shy, otherwise calm Evidence of Cruelty seen – n Evidence of Trauma seen – n Objective P =60 R = wnl BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: clean teeth, back teeth not seen PLN: No enlargements noted H/L: NSR, NMA, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: no SS felt MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: healthy Plan no tx, eventual OHE Prognosis: good SURGERY: Permanent waiver due to age
Weight 10.6
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