KIKI – A1126545

KIKI – A1126545

FEMALE, WHITE / BROWN, COCKER SPAN MIX, 12 yrs
OWNER SUR – EVALUATE, NO HOLD Reason PET HEALTH
Intake condition UNSPECIFIE Intake Date 09/25/2017, From NY 11206, DueOut Date 09/28/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 12 years Microchip noted on Intake? No History : Presents as owner surrender. Friendly, quiet, allows all handling with minimal restraint  Objective P = 120 R = 30 BCS 5/9 EENT: Eyes clear, Moderate brown exudate AU, no nasal discharge noted Oral Exam: Heavy dental calculus, Stage 4 Periodontal disease, MM Pink and moist PLN: No enlargements noted H/L: NSR, Grade 4/6 left systolic murmur, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: No spay scar noted / palpated, Multiple mammary tumors, Softball sized mammary tumor with ulcerations last mammary gland right side chain MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Mammary Tumor Heart Murmur Dental Calculus Otitis externa Stage 4 Periodontal Disease Regenerative Anemia Mild Hepatopathy CBC / Chemistry / T4 Results CBC: WBC 21.15 (5.05-16.76) Mono 4.68 (0.16-1.12) HCT 27.9 (37.3-61.7) RBC 4.59 (5.65-8.87) HGB 10.0 (13.1-20.5) Retic 141.4 (10-110) PLT 112 (148-484) MPV 17.8 (8.7-12.2) Chemistry ALKP 423 (23-212) Creat 0.4 (0.5-1.8) Globulin 5.4 (2.5-4.5) TT4 1.7 (1.0-4.0) Plan: CBC / Chemistry/ T4 Ear Cleaning + Claro Application Ceph 250 mg – 1 tablet PO BID x 14 days Nail Trim Recommend removal of mammary masses + OVH and full mouth dental extractions Prognosis: Fair SURGERY: Permanent waiver due to age / heart murmur
Weight 30.4

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