TILI – 25603

TILI – 25603

Location: Manhattan, Intake Date: 4/19/18, Intake Type: Owner Surrender

Medical Behavior: Blue, Sex: Female, Age: 10 years, Weight: 8 lbs, Original Location: 1003

Estimated age: 10; Microchip noted on Intake? n; History : OS; Subjective: BARH; Observed Behavior – very timid/scared; Objective ; T = -; P = 100; R = wnl; BCS = 4.5/9; EENT: Immature cataracts, ears clean, no nasal or ocular discharge noted; Oral Exam: Edentulous ; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: No spay scar – suspect intact; MSI: Grade 1 left medial luxating patella, Ambulatory x 4, skin free of parasites, no masses noted, flaky hair coat; CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal: NP; Assessment: Geriatric, immature cataracts, edentulous ; Grade 1 left medial luxating patella not affecting gait, otherwise suspect healthy; Anxious in ACC so will place on anxiolytics for 3 days ; Prognosis: Excellent ; Plan: Give intake txs; Place on trazadone 50mg SID PO for 3 days

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