BASIL – A1103881
Urgent - Staten Island
ON DOH HOLD — 3 yr old neutered boy has some open puncture wounds on right limb – has URI symptoms and needs rescue!
STATEN ISLAND CENTER
BASIL – A1103881
**DOH – V HOLD**
NEUTERED MALE, BLACK, DOMESTIC SH MIX,3 yrs
OWNER SUR – EVALUATE, HOLD FOR DOH-V Reason HOARDING
Intake condition UNSPECIFIE Intake Date 04/11/2017, From NY 10469, DueOut Date 04/11/2017, I came in with Group/Litter #K17-093666.
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: Approx 3 yo MN DSH Microchip noted on Intake? scan positive ( 985112008182123) Relaxed and easy to handle. History : owner surrender Subjective: Observed Behavior – tolerated handling well Evidence of Cruelty seen – no Evidence of Trauma seen – wound at right forelimb Objective Temp= 102.6, BCS 5/9 EENT: OS- yellow mucoid discharge, OD- clear; AU- brown debris, nasla congestion and mild mucoid discharge Oral Exam: mild dental calc PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, mildly increased respiratory rate ABD: Non painful, no masses palpated U/G: MN, tattoo seen MSI: Ambulatory x 4, skin free of parasites, no masses noted, scab at top of head, open puncture wounds at right carpus and bleeding, older puncture wounds at right elbow CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: puncture wounds- R/O bite wounds vs trauma vs other nasal and ocular discharge- R/O URI vs other mild tachypnea- R/O stress vs infectious vs other Plan gave convenia injection 0.44 mls SQ (x) clipped and cleaned wounds start erythromyin OU BID x 1 week start doxycycline 44 mg PO SID x 10 days move to isolation, monitor respiration Prognosis: fair
Came in With
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