HAZEL – A1116025
Safe - 6-24-2017 Brooklyn
SAFE 6/24/17 HAZEL is 2 yrs old – she came in limping with a badly injured left front paw pad – it is raw and being treated and should heal on it’s own.
HAZEL – A1116025
SPAYED FEMALE, BLACK, DOMESTIC SH MIX,2 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 06/20/2017, From NY 11234, DueOut Date 06/23/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 2-4 Microchip noted on Intake? n History : stray Subjective: left front paw pads are raw, as if burned or excoriated from rough surface Observed Behavior – allows exam, calm Evidence of Cruelty seen – n Evidence of Trauma seen – y–paw Objective P = 100 R = wnl BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: gingivitis and halitosis carnassial 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. injury to left front paw pad, formerly reported limping CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: wound to paw pad Plan: paw pad should heal on its own. will clean with chlorhex Prognosis: good
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