DALLAS – A1117609
Urgent - Manhattan
FOSTER CARE 7/9/17 Dallas is a friendly cat with a small laceration which will need some follow up care.
DALLAS – A1117609
FEMALE, BRN TABBY, DOMESTIC SH,1 yr
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition INJ MINOR Intake Date 07/05/2017, From NY 10455, DueOut Date 07/08/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 1 year Microchip noted on Intake? History : stray Subjective: BAR Observed Behavior – easy going, allows handling Evidence of Cruelty seen – none Evidence of Trauma seen – small laceration on R flank Objective BCS 5/9 EENT: Eyes clear, no nasal discharge; AU-erythema, dark discharge; very pruritic Oral Exam: mm pk, moist; CRT <2 sec; adult dentitia, no significant tartar or staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: female; no spay scar or tattoo noted MSI: ambulatory x 4 with no lameness noted inch long dermal laceration on R flank, mild serosanguinous discharge, minimal swelling CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment Wound Ear mites Plan gave 0.3 ml convenia SQ has already had first dose of ivermectin, repeat in 2 weeks (0.06 ml SQ) Prognosis: excellent SURGERY: Okay for surgery
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