LUCAS -A1110654
Safe - 5-12-2017 Brooklyn
SAFE 5/12/17 LUCAS may have a bacterial or yeast infection in his ears – needs follow up medical – owner brought in because they are moving overseas to help a family member – very sweet cat!
BROOKLYN CENTER
LUCAS – A1110654
NEUTERED MALE, GRAY / WHITE, DOMESTIC SH MIX,2 yrs
OWNER SUR – ONHOLDAVAI, HOLD FOR ID Reason PERS PROB
Intake condition UNSPECIFIE Intake Date 05/06/2017, From NY 11234, DueOut Date 05/11/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 2 years Microchip noted on Intake? yes History : owner surrender, moving overseas to help family member. healthy, nice cat Subjective: bar, very sweet! Observed Behavior – patient Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective T = 102 P = 180 R = 30 BCS= 4.5/9 EENT: Eyes clear, no nasal discharge noted, AD clean, AS-minimal debris Oral Exam: slight tartar buildup on carnassial teeth PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: neutered MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not indicated Assessment: 1. Otitis externa AS- mites vs yeast vs bacterial 2.Up to date on vaccines Plan: deworm, check microchip,felv/fiv test,clean AS, ear mite check, Prognosis: Good SURGERY: Permanent waiver due to already altered
Weight 11.1
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