KAREN – A1124964 

KAREN – A1124964

FEMALE, BROWN / WHITE, BEAGLE MIX, 10 yrs
STRAY – STRAY WAIT, HOLD RELEASED Reason STRAY
Intake condition DISEASE Intake Date 09/09/2017, From NY 11208, DueOut Date 09/12/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: ~12 years Microchip noted on Intake? negative History : stray found tied to a pole Subjective: BARH Observed Behavior – very sweet. Easily handleable and easy to pick up. Enjoys being held and did well for all medical handling and procedures Evidence of Cruelty seen – yes Evidence of Trauma seen – no Objective P = wnl R = eupneic BCS 2/9 EENT: Eyes clear with nuclear sclerosis ou, AS has severe black coffee ground debris, AD has moderate brown black debris, no nasal discharge noted Oral Exam: severe dental disease PLN: No enlargements noted H/L: Grade 6/6 HM, NSR, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FI, no vulvar d/c, no MGTs MSI: Ambulatory x 4, skin free of parasites, no masses noted, haircoat has matting and urine staining, emaciated, cachexic, overgrown nails CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Geriatric Grade 6/6 HM Otitis externa-suspect ear mites Nuclear sclerosis Severe dental disease Overgrown nails and matting with urine staining Cachexia Plan: Continue to monitor while at BACC Cleaned ears Trimmed nails Start tresaderm AU BID x14 d Recheck ears day 7, 14 Rec cardiologist consult and bw/ua Prognosis: Fair SURGERY: permanent waiver from surgery due to heart murmur and age
Weight 14.0

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