PRINCE – 31424

PRINCE – 31424

Care Center Location: Brooklyn; ZIP Code From: 11210; Intake Type: Owner

surrender; Medical Behavior: Green; Age: 9 years; Sex: Neutered Male; Weight: 10 lbs

DVM Intake Exam: Estimated age: 9 years Microchip noted on Intake? positive  History : o/s. Reports of previous UTI, noted to be straining on intake.Subjective: BARH
Observed Behavior – very sweet. Easily handleable. Did well for all medical handling and procedures. Objective; P = wnl  R = eupneic  BCS 5/9 EENT: Eyes have mild mucoid d/c ou, ears clean, no nasal discharge noted Oral Exam: adult dentition with moderate dental disease, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: mildly tense and painful on caudal abdominal palpation, no masses palpated U/G: MN MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, shaved around hindend CNS: mentation appropriate – no signs of neurologic abnormalities. Assessment:Geriatric  Dental disease (moderate). Hx UTI-straining to urinate and possibly defecate. Large bladder stone. Mild conjunctivitis
Plan: Continue to monitor while at BACC  Start TAB ointment OU BID x5d until 6/22, recheck. AXR-one large cystolith, otherwise unremarkable CBC/Chem pending. Rec dental with placement pending bloodwork. Rec cystotomy to remove stone-will monitor urination in VS  Prognosis: Good. SURGERY: neutered

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