COLUMBIA – 26042
Safe - 4-30-2018 Manhattan
SAFE 4/30/18 COLUMBIA is a 7 year old girl who is already spayed. She was originally adopted back in 2010. Her owner has health issues and is in and out of the hospital so a friend brought COLUMBIA to the shelter. She has some dermatitis and could use a dental cleaning. She is shy but friendly and needs a new home asap.
MANHATTAN CENTER
**RETURN**
Columbia 26042
Location: Manhattan
Intake Date: 4/24/18
Intake Type: Stray
Medical Behavior: Green
Sex: Spayed
Age: 7 years
Original Location: 10009
DVM Intake Exam
Estimated age:7 years
Microchip noted on Intake? yes
Microchip Number (If Applicable):
History : surrendered by a friend of the owner because owner has health concerns and is in and out of the hospital often; previously adopted from ACC in 2010
Subjective: QAR
Observed Behavior -shy but docile and allows all handling
Evidence of Cruelty seen -n
Evidence of Trauma seen -n
Objective
BCS 5/9
EENT: Eyes clear, AU-mild waxy discharge, no nasal or ocular discharge noted
Oral Exam:mm pk, moist; CRT <2 sec; mild to moderate tartar/staining, resorptive lesion along upper L premolars
PLN: No enlargements noted
H/L: eupnic, clear lung sounds, no murmurs or arrhythmias
ABD: Non painful, no masses palpated
U/G: female spayed
MSI: Ambulatory x 4, skin free of parasites, no masses noted, mild chin acne
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal:grossly normal
Assessment
1. Chin acne, mild
2. Dental disease, mild
Prognosis:good
Plan:
-dermatitis along chin likely indicates mild allergies
-recommend dental cleaning after placement
SURGERY:spayed
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View all entries in: Safe Cats 2018-04