PRETTY – A1109053
Urgent - Manhattan
NEW PHOTO! PRETTY IS 9 YRS OLD AND NEEDS A NEW HOME – HAS DENTAL ISSUES, AND MAY HAVE RECENTLY HAD A LITTER- BUT NEEDS VET EVAL TO RULE OUT OTHER ISSUES.
PRETTY – A1109053
**DOH – B HOLD 04/16/17**
FEMALE, BRN TABBY / WHITE, DOMESTIC SH MIX,9 yrs
STRAY – EVALUATE, HOLD FOR DOH-B Reason ATT PEOPLE
Intake condition EXAM REQ Intake Date 04/16/2017, From NY 10457, DueOut Date 04/26/2017,
Medical Behavior Evaluation BLUE
Medical Summary DVM Intake Exam Estimated age: Reported to be 9 years old Microchip noted on Intake? Scanned negative – MC implanted History : Not very social at home – hides, likes to be in high places. Bit the owner today while grandchildren were visiting and trying to pet the patient. Subjective: Very quiet, eyes dilated, looks around but does not move. Tense body, tail tapping. No biting, hissing or growling. Objective BCS 5/9, MMs pink EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Moderate tartar especially on PMs and Ms PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Slightly tense, no masses palpated U/G: Female. No spay scar visible. Mild mammary tissue development. MSI: Very thin fur coat on lateral and ventral body, quiet underlying skin. Ambulatory x 4, skin free of parasites, no masses noted CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: 1. Dental disease 2. Thin fur coat – R/O stress overgrooming 3. Mammary tissue appears slightly developed – R/O recent litter vs. mammary tissue hyperplasia Plan: Recommend dental cleaning. Spay. Decrease stress. Prognosis: Fair SURGERY: Okay for surgery at doctor’s discretion AFTER bite quarantine is up 1088
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