NENE – 22602
Safe - 3-16-2018 Manhattan
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SAFE 03/16/18
NENE – 22602
Care Center Location: Manhattan, ZIP Code From: 10455, Intake Type: Stray
Medical Behavior: Blue, Age: 12 years, Sex: Male, Weight: 16 lbs
DVM intake; Estimated age: 12; Microchip noted on Intake? n; History : Owner passed away; Subjective: QAR; Observed Behavior – Timid but allowed for a full examine ;Objective T =; P = 108; R = wnl; BCS 4/9; EENT: Eyes bilateral incipient cataracts, ears clean, no nasal or ocular discharge noted; Oral Exam: moderate calculus and peridontitis; PLN: No enlargements noted; H/L: NSR,Grade III/VI Left side heart murmur CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: Two descended testicles ; MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal: NP; Assessment; 1) Left side Grade 3 Heart Murmur; 2) Dental disease; 3) Bilateral incipient cataracts; Prognosis: Fair to good, Plan: Give intake treatments , Permanent waiver due to
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