ZULLY – A1117775

ZULLY – A1117775

SPAYED FEMALE, TAN, PUG MIX, 8 yrs
OWNER SUR – ONHOLDHERE, HOLD FOR ID Reason OWNER SICK
Intake condition EXAM REQ Intake Date 07/08/2017, From NY 10029, DueOut Date 07/08/2017,

Medical Behavior Evaluation GREEN
Medical Summary 07/08/17 11:05 DVM Intake Exam Estimated age: ~8 years Microchip noted on Intake? scan positive History : Subjective: Observed Behavior – calm, sweet, allowed exam. Objective T = NP P = wnl R = wnl BCS 7/9 EENT: Eyes clear, left ear – dark brown discharge, right ear – wnl, no nasal discharge noted Oral Exam: adult dentition, moderate to severe periodontal disease PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female, spayed, small mass on externa vulva, no MGTs palpated MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, overweight body condition, no lameness, long overgrown nails (curling into paw pads, no wounds noted on exam) CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment ~8 year old FS dog overweight periodontal disease – recommend dental with extractions after placement small mass on external vulva – r/o benign vs. malignant otitis externa AS long overgrown nails – sign up for nail trim today Plan Clean ears twice weekly x 2 weeks Otibiotic AS BID x 2 weeks Sign up for nail trim OK for placement Prognosis: Good SURGERY: Already spayed
Weight 25.4

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