SUPERGIRL – A1123148

SUPERGIRL – A1123148

SPAYED FEMALE, BLACK / TAN, MIN PINSCHER MIX, 8 yrs
STRAY – STRAY WAIT, HOLD RELEASED Reason STRAY
Intake condition EXAM REQ Intake Date 08/24/2017, From NY 10029, DueOut Date 08/27/2017,

Medical Behavior Evaluation GREEN
Medical Summary  Estimated age: geriatric, ~ 10+ yrs Microchip noted on Intake? scan negative History : found stray, poss. seizure per finder Subjective: QAR mildly dehydrated; eating/drinking well Observed Behavior – calm, mildly timid, allwed handling/PE  P = R = BCS 1/9 EENT: OU cataracts, decreased sight; AU clean, no nasal discharge noted Oral Exam: mild tartar, pale pink MM PLN: prominent submandib. LN H/L: left parasternal heart murmur grade V/VI, CRT ~ 3 sec, Lungs clear, eupnic ABD: soft, non painful, no masses palpated; palp. abdominal scar U/G: presumed spayed, no mammary development, palp. abdominal scar MSI: emaciated BCS 1/9; ambulatory x 4, skin free of parasites, no masses noted, dry hair coat, thin skin, long tails CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment: – poor/emacitated BCS – bilateral cataracts – heart murmur – appearance of multiple underlying chronic conditions/metabolic disorders (r/o heart dz, diabetes, neoplasia, vs other) Plan: – CBC/Chem/UA – rec’ full medical work-up +/-chest rads — rec’ cardiac workup Prognosis: open – depends of severity of conditions and ability to treat, but she has the appearance of longterm chronic illness that will need follow-up medical attention and regular treatment SURGERY: n/a – waived because presumed spayed and health
Weight 8.4

 

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