MACARON – A1118377
Safe - 7-16-2017 Brooklyn
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SAFE 07/16/17
MACARON – A1118377
FEMALE, BROWN / WHITE, SHIH TZU MIX, 8 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition ILLNESS Intake Date 07/13/2017, From OUT OF NYC, DueOut Date 07/16/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam 7/13/17 Estimated age:~8yrs, female Microchip noted on Intake? No History : Stray Subjective: Observed Behavior – QARH. Allowed all handling Objective P = WNL R = WNL BCS 4/9 EENT: Buphthalmia OU with corneal scarring OU, ears clean, no nasal discharge noted Oral Exam: Moderate dental tartar/gingivitis PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Female MSI: Ambulatory x 4, skin free of parasites, healthy hair coat, large soft ulcerated mass hanging from dorsal left of vulva CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Senior pet, mass Plan: Rec clavamox 62.5mg PO q12 x 10 days Prognosis: Fair SURGERY: Permanent waiver due to mass
Weight 8.4
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