HALSEY – A1113743
Urgent - Manhattan
FOSTER CARE 6/4/17 HALSEY has a traumatic tail amputation that may have happened a few weeks ago – leaving on a few inches of tail – will need follow up vet care. Already spayed and friendly!
HALSEY – A1113743
SPAYED FEMALE, GRAY TABBY / WHITE, DOMESTIC SH MIX,3 yrs
STRAY – STRAYAVAI, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 05/31/2017, From NY 10470, DueOut Date 06/03/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 2-3 Microchip noted on Intake? n History : stray Subjective: tail seems to have been traumaticly amputated at least a few weeks ago leaving onely a few inches. distal one inch is scabby but seems to be granulated over Observed Behavior – allows all handling BAR Evidence of Cruelty seen – n Evidence of Trauma seen – y Objective P = 120 R = wnl BCS 6/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: clean teeth PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: spay scar seen MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: traumatic tail amputation Plan : clean tail with chlorhex, monitor Prognosis: good
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