RALPHIE – A1107615

RALPHIE  – A1107615

MALE, WHITE, BICHON FRISE, 11 yrs
OWNER SUR – EVALUATE, NO HOLD Reason PERS PROB
Intake condition EXAM REQ Intake Date 04/09/2017, From NY 11236, DueOut Date 04/09/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Castrated male Estimated age: 11 years Microchip noted on Intake? Negative History : Owner surrender. Subjective: Geriatric underlying with heart murmur, nuclear sclerosis and some dermatitis Observed Behavior – QAR Evidence of Cruelty seen – None Evidence of Trauma seen – None Objective T =Not taken P = 130 bpm R = Not taken BCS 6/9 EENT: Bilateral nuclear sclerosis, ears clean, no nasal discharge noted Oral Exam: dental tartar, gingivitis, periodontal disease PLN: No enlargements noted H/L: Type 3 cardiac murmur CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: castrated MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: Not examined Assessment Heart murmur Nuclear sclerosis dermatitis Plan Vaccines, microchipped, pyrantel, flea treatment. Echocardiograph recomeneded. Bloodwork recommeded. Prognosis: Fair
Weight 19.5

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