LOLA – A1114155
Safe - 6-13-2017 Brooklyn
SAFE 6/13/17 LOLA has some swelling near her spay site – should have further vet eval. Lola came in with another cat named Fidget.
LOLA – A1114155
SPAYED FEMALE, CALICO, DOMESTIC SH MIX,5 yrs
OWNER SUR – AVAILABLE, HOLD RELEASED Reason ALLERGIES
Intake condition UNSPECIFIE Intake Date 06/10/2017, From NY 11373, DueOut Date 06/10/2017, I came in with Group/Litter #K17-100411.
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: 5 years Microchip noted on Intake? YES; 985112003906023 History : Relinquished for owner allergies Subjective: BAR, sweet, somewhat nervous Observed Behavior – allows all medical handling, nervous Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective T = P = 180 R = eup BCS 5/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: mild gumline hyperemia, mild dental calc PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no abdominal masses, 2×2 soft swelling that palpated connected to body wall possibly from spay site – not reducable U/G: SF, spay scar apparent but no tattoo 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 5 year old SF DSH 1. SQ swelling abdomen r/o spay hernia v lipoma v other neoplasia 2. Otherwise healthy Plan -Apparently healthy adult -Consider work up for abdominal swelling (consider explore +/- rads +/- aspirate -Proceed with vax, activyl, pyrantel -Retro negative Prognosis: Good SURGERY: Already spayed
Came in With
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View all entries in: Safe Cats 2017-06