SPIKE – A1113408

SPIKE – A1113408

NEUTERED MALE, SILVER / TAN, YORKSHIRE TERR MIX, 8 yrs
STRAY – ONHOLDHERE, HOLD RELEASED Reason PET HEALTH
Intake condition GERIATRIC Intake Date 05/27/2017, From NY 10467, DueOut Date 05/30/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 8 y Microchip noted on Intake? 095583349 History : owner surrender; per owner — dog is allergic to food with chicken, the owner says that this dog is sick but the dog is eating and drinking on his own and going to the bathroom wihout any problems. Subjective: Quiet, slightly depressed, geriatric dog Observed Behavior – quiet, friendly Objective T = (not done) P = 168 R = 36 BCS 2/9 EENT: OU – mild mucoid ocular discharge; AU ears clean; no nasal discharge noted Oral Exam: missing all teeth PLN: No enlargements noted H/L: nsf = NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: nsf = Non painful, no masses palpated U/G: neutered male ( no palp. testicles) MSI: general muscle waiting, underweight/poor BCS, amb x4 with sitff gait, no pain/response to flex/extend of limbs; mod matted coat – worse around face/eyes – needs bath/grooming; skin free of parasites, no masses noted CNS: quiet, slightly dull mentation – no signs of neurologic abnormalities observed Rectal: not performed Assessment – Geriatric — missing all teeth — poor BCS Plan – rec’ gen BW + UA for baseline and since owner reports “illness” – rec’ NH placement Prognosis: fair/guarded if underlying illness SURGERY: neutered
Weight 3.7

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