TONI – 24753
Safe - 4-11-2018 Manhattan
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SAFE 04/11/18
TONI – 24753
Care Center Location: Manhattan, ZIP Code From: 10024, Intake Type: Stray
Medical Behavior: Green, Age: 8 years, Sex: Neutered male, Weight: 10 lbs
DVM Intake Exam; Estimated age: 6; Microchip noted on Intake? n; Microchip Number (If Applicable): History : stray; Subjective: QARH; Observed Behavior – timid but allowed for full PE; Evidence of Cruelty seen – Yes – Moderate matting; Objective; T = -; P = wnl; R = wnl; BCS = 4/9; EENT: Eyes clear, ears clean, no nasal or ocular discharge noted; Oral Exam: mild tartar; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G: Neutered Male; MSI: Moderate MATTING OF all four PAWS AND VENTRAL ABDOMEN and HIND END, Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal: Outer surface of rectum inflamed – would not allowed for a rectal examination. Assessment: Matted otherwise suspected healthy; Prognosis: Excellent; Plan: Give intake tx’s
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