RHEA – A1108075
Safe - 4-18-2017 Manhattan
SAFE 4/18/17 – RHEA is pregnant. Has dental issues which need vet care.
RHEA – A1108075
FEMALE, BLACK / WHITE, DOMESTIC SH MIX,2 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 04/06/2017, From NY 10457, DueOut Date 04/09/2017,
Medical Behavior Evaluation BLUE
Medical Summary History Stray – found curled up in a corner. Ran away during intake but allowed all handling after that. Subjective Tense but allowed all handling. Objective BCS 6/9, MMs pink EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: Severe tartar and gingivitis. PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Distended, non painful, no masses palpated U/G: Female. No mammary development noted. MSI: Ambulatory x 4. Large mat along dorsal spine. Small alopecic patch on right hind foot, medial aspect. CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment 1. Likely pregnant 2. Severe dental disease 3. Alopecia – R/O healig wound vs. ringworm Plan 1. Wood’s lamp and start DTM culture 2. Spay after stray wait 3. Recommend dental cleaning in near future 1088
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