JENNIFER – A1119545

JENNIFER – A1119545

**HOLD FOR DOH-V**

FEMALE, GRAY, PIT BULL MIX, 2 yrs
STRAY – ONHOLDHERE, HOLD FOR DOH-V Reason STRAY
Intake condition INJ MINOR Intake Date 07/24/2017, From NY 10302, DueOut Date 07/27/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: young adult, ~ 2 yr Microchip noted on Intake? scan negative History : found stray with another dog (A1119543), injured + appears to have bite wounds Subjective: BARH Observed Behavior – friendly, allowed PE Objective T = 103 P = wnl R = wnl BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: nsf PLN: swollen submandibular region LN, nosf H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact female, prominent mamma and vulva – r/o past litters MSI: Ambulatory x 4, appears to have old healing abrasions and small punctures around right elbow consistent with bite wounds, sensitive on palp.; the right side of the face has many superficial healing abrasions and the submandibular region is mildly swollen also consistent with bite wounds; the left side of the face and left front leg also have small scars; no parasites observed, otherwise healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment – multiple small healing/infected abrasions and punctures around right side of face/ear/muzzle + submandibular region – small puncture/healing wounds at right elbow, tender to touch – injuries are consistent with bite wounds. Plan – gave 375mg Clavamox PO + 2 ml rimadyl sq during PE – clavamox 375 mg PO BID x 10 days – rimadyl 50 mg PO BID x 5 days – clean + recheck wounds Prognosis: good SURGERY: Temporary waiver due to injury + DOH hold
Weight 54.0

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