RAYLEEN – 12263
Safe - 11-12-2017 Brooklyn
SAFE 11/12/17 RAYLEEN was surrendered by owner due to a divorce. He is already neutered but is a bit overweight and has a heartu murmur. Rayleen was a bit upset when brought to the shelter and will need a new home where he can relax and regroup.
Intake Date: 11/10/17
Intake Type: Owner Surrender
Medical Behavior: Yellow
Age: 8 years
DVM Intake Exam
Estimated age: 8yrs
Microchip noted on Intake? only DVM exam done, not scanned (should scan positive as was here previously)
History: O/S due to divorce
Subjective:Cat is BARH
Observed Behavior – Willingly came out of carrier. Allowed minimal handling before he started hissing and growling, escalated to swatting. Aggression seems related to overstimulation. Put in cage and will allow overnight before attempting LVT intake procedures.
Evidence of Cruelty seen -no
Evidence of Trauma seen -no
T = NA
P = wnl
R = wnl
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Grade 1-2/4 dental dz
PLN: No enlargements noted
H/L: NSR, Grade II-III/VI heart murmur, Lungs clear, eupneic
ABD: Non painful, no masses palpated
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: Overweight, Dental dz, Heart Murmur
Plan: Acceptable candidate for adoption or rescue pending behavior evaluation. Recommend weight loss. Recommend senior bloodwork with cardiopet proBNP and dental prophy on placement.
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