OKINAWA – A1116096
Gone - 6-21-2017 Manhattan
GONE 6/21/17 OKINAWA is a friendly stray who has serious issues. Shelter recommends euth although they don’t give a specific diagnosis.
OKINAWA – A1116096
FEMALE, GRAY TABBY, DOMESTIC SH MIX,5 yrs
STRAY – EVALUATE, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 06/21/2017, From NY 10456, DueOut Date 06/24/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: geriatric – at least Microchip noted on Intake? no History : Found stray, no medical history. Subjective: QAR, eupneic, ~10% dehydrated, not interested in food Observed Behavior – allowed all handling Evidence of Cruelty seen – none Evidence of Trauma seen – none Objective T = 96.5 P = WNL R = WNL BCS 3/9 EENT: Eyes clear, ears clean, no nasal discharge noted, moderate iris atrophy Oral Exam: severe dental tartar and gingivitis with likely FORLs on both maxillary carnassials PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic, no evidence of pleural effusion ABD: Marked peritoneal effusion with visible fluid wave. No organs palpable through effusion. U/G: female MSI: Ambulatory x 4, skin free of parasites, no masses noted, diffusely unkempt hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: hypothermia (shock), severe dehydration, severe peritoneal effusion – neoplastic effusion vs. geriatric FIP vs. right-sided heart failure (less likely, no audible murmur) vs. hemoabdomen (less likely, CRT <2 sec) vs. pyoabdomen (less likely, no fever) Plan: EHR due to grave prognosis Prognosis: grave
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