PJ – A1112142
RTO SAFE 05/20/17
PJ – A1112142
NEUTERED MALE, WHITE / BLACK, PIT BULL, 8 yrs
STRAY – ONHOLDHERE, HOLD FOR ID Reason STRAY
Intake condition GERIATRIC Intake Date 05/16/2017, From NY 11208, DueOut Date 05/19/2017, I came in with Group/Litter #K17-097337.
Medical Behavior Evaluation GREEN
Medical Summary Estimated age: ~8yrs, neutered Microchip noted on Intake? Yes 012538274. Stray dog brought in by field, had been tied to pole Q/BARH. Allows all handling, attention seeking, tail wagging P = WNL R = WNL BCS 4/9 EENT: Eyes clear, Mild to moderate otitis externa with purulent discharge, mild seromucoid nasal discharge Oral Exam: mild to 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: Neutered MSI: Ambulatory x 4, live fleas, flea dirt along dorsum, small skin tag at right axillary region, generalized pyoderma most significant at ventrum CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Geriatric, pyoderma, otitis externa, fleas, mild nasal discharge Plan: Ears cleaned, otibiotic applied. Rec otibiotic q12 x 7 days. Doxycycline 300mg PO q24 x 10 days Prognosis: Good
CAME IN WITH : ONYX – A1112141 (NOT URGENT)
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