PLATINUM – 15715

PLATINUM – 15715

Location: Brooklyn; Intake Date: 12/8/17; Intake Type: Stray

Medical Behavior: Blue; Sex: Female; Age: 8 years; Weight: 12.3 lbs

Original Location: 11207

DVM Intake Exam: Estimated age: 8-10 Microchip noted on Intake? n History : stray
Subjective: bar. Observed Behavior – very good for all aspects of exam, sweet, but scared. Objective:  T =  P = 120  R = wnl BCS 5/9  EENT: Immature cataract od and mild scleral injection, Pigmentary keratitis and corneal edema w/ blue coloring to globe os, mod to severe scleral injction, ears clean, no nasal or ocular discharge noted
Oral Exam: mod tarter, 8-10 yrs est of age PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic. ABD: Non painful, no masses palpated
U/G: mammary tumor caudalmost glands left <1/2 cm and right 2 cm,irregular
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, but matted CNS: Mentation appropriate – no signs of neurologic abnormalities. Rectal: na
Assessment:8-10 yr fi Jap Chin mix  mammary masses – r/o benign due to no ovh vs malignant. immature cataract od. scleral injection, pigmentary keratitis, blue – r/o corneal dz vs glaucoma  Prognosis: good  Plan: corneal stain (-) tonometry right avge 24, left avge 28. neopolydex bid ou and recheck in 5 days. SURGERY:  Okay for surgery

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