DESTINY – A1116774
Safe - 7-9-2017 Manhattan
SAFE 7/9/17 3 year old Destiny is a sweet boy who was brought in not feeling well. He needs medical eval to rule out a few issues. Needs someone to give him follow up care and a good home!
DESTINY – A1116774
NEUTERED MALE, BRN TABBY / WHITE, DOMESTIC SH MIX,3 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 06/28/2017, From NY 10472, DueOut Date 07/01/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 3-5 years Microchip noted on Intake? placed on intake History : stray; vomit and diarrhea noted in carrier Subjective: BAR Observed Behavior – sweet, allows handling Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective BCS 4/9 EENT: Eyes clear, no nasal discharge AD-mod waxy discharge, pruritic Oral Exam: mm pk, sl tacky; CRT <2 sec; mild tartar/staining; fractures of both upper canines close to gingiva with pulp exposure PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: soft, nonpainful; sl doughy U/G: neutered male MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment v/d in carrier-r/o stress vs other acute GI disease (pancreatitis, dietary indiscretion, GIFB) vs chronic GI disease (IBD vs other) vs secondary to systemic dz otitis externa AD-r/o allergies vs ear mites vs other Plan cerenia 0.4 ml SQ tresaderm AD SID x 10 days monitor for continued v/d/inappetance/weight loss rec’d extraction of both upper canines Prognosis: good SURGERY: neutered
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View all entries in: Safe Cats 2017-07