NERGE – 11421
Safe - 11-4-2017 Brooklyn
SAFE 11/4/17 Reminding You To Be Thankful This Season! Meet 8 Week Old NERGE @ BACC
Nerge 11421, Stray, 8 Weeks Old, Female, White DSH, 1 lbs.
Vet Notes: 11:22 AM
DVM Intake Exam
Estimated age: ~6-8weeks
Microchip noted on Intake? no
History : Reportedly fell off roof ~2weeks ago. Triage on presentation – abdominal tap was negative, pyrantel was given, R/O CH
Subjective: Eating well, normal/soft stool
Observed Behavior – BARH. Allows all handling.
Evidence of Cruelty seen – no
Evidence of Trauma seen – no
P = WNL R = WNL BCS 4/9 with distended abd
EENT: Eyes clear, ears clean, no nasal discharge noted
Oral Exam: Teeth clean, erupting appropriately, pink mm
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated; distended
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy, very dirty hair coat
CNS: mentation appropriate, ataxic, falls over when ambulating, slight trembling, head shaking
Assessment: Reportedly fell from roof about two weeks ago — Underage, distended abdomen, neurologic disease. Problems may be related to trauma vs separate problem list (cerebellar hypoplasia, intestinal parasites, other)
Plan: Abdominal/pelvic radiographs scheduled. Continue to monitor while at BACC
Temporary waiver due to underage, medical concerns
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