ROCCO – 28746
Safe - 5-25-2018 Manhattan
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SAFE 05/25/18
ROCCO – 28746
Care Center Location: Manhattan, ZIP Code From: 10029, Intake Type: Owner surrender
Medical Behavior: Yellow, Age: 10 years, Sex: Neutered male
Weight: 12 lbs
DVM Intake Exam; Estimated age: 10; Microchip noted on Intake? yes; History : o surrender; Subjective: QARH; Observed Behavior – Very fearful, did not need muzzle, growling some, needed towel for exam; Objective ; T =; P = 150; R = eup; BCS= 4/9; EENT: Eyes clear, ears clean, no nasal or ocular discharge noted; Oral Exam: Marked calculus and gingivitis, Grade 4 Ddz. PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: MC; MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. Slightly thin. Very soft 1 cm SQ mass R ventral chest- no pain or redness. Mildly long nails. CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal: Assessment; 10 yr MC Min pin. Geriatric – apparently healthy; Marked ddz – grade 4; SQ mass R chest – suspect benign lipoma; Prognosis: Fair to good with management; Plan: Routine intake. Needs dental cleaning – not urgent but recom in next 3-6 mos.
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