AVA – A1115540

Staten Island Center

A1115540- Ava – 2 week bottle baby – .6lb

DVM Intake Exam

Estimated age: 2 weeks

Microchip noted on Intake? scan negative

History : stray

Subjective:

Observed Behavior – tolerated exam well

Evidence of Cruelty seen – no

Evidence of Trauma seen – no

Objective

BCS 5/9

EENT: Eyes clear, ears clean, no nasal discharge noted

Oral Exam: deciduous incisors only

PLN: No enlargements noted

H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic

ABD: Non painful, no masses palpated

U/G: FI

SI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat

CNS: mentation appropriate – no signs of neurologic abnormalities

Assessment

appears healthy

Plan

Prognosis: fair

SURGERY:

Temporary waiver due to underage

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