HONEY – A1117479
Safe - 7-12-2017 Manhattan
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SAFE 07/12/17
HONEY – A1117479
SPAYED FEMALE, TAN / WHITE, YORKSHIRE TERR MIX, 8 yrs
OWNER SUR – ONHOLDHERE, HOLD FOR ID Reason OWNER SICK
Intake condition EXAM REQ Intake Date 07/05/2017, From NY 10467, DueOut Date 07/05/2017,
Medical Behavior Evaluation GREEN
Medical Summary Estimated age: reported to be 8 by owner; age consistent with exam or possibly could be younger Microchip noted on Intake? placed on intake. Owner surrender due to owner’s health problems; owner noted inappetance over the last few days. QAR, easy going, allows handling BCS 6/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: mm pk, moist; CRT <2 sec; mild-moderate tartar/staining; missing upper incisor PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female, no spay scar or tattoo noted MSI: Ambulatory x 4 with no lameness noted discomfort on palpation of TL junction, sits down when palpated skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal:not performed Assessment Overweight Back pain h/o inappetance-r/o secondary to pain vs primary GI vs other Plan carprofen 0.3 ml SQ SID x 3 days, if eating can switch to rimadyl monitor app, if it remains decreased despite pain control, then rec’d CBC/chem +/- AXR Prognosis: good SURGERY: Okay for surgery
Weight 12.8
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View all entries in: Safe Dogs 2017-07