GRACIE – 28433

MANHATTAN CENTER

Gracie 28433

Location: Manhattan

Intake Date: 5/18/18

Intake Type: Owner Surrender

Medical Behavior: Blue

Sex: Spayed

Age: 7 years

Original Location: 10451

DVM Intake Exam

Estimated age: 7
Microchip noted on Intake? n
Microchip Number (If Applicable): n

History : OS

Subjective: QARH

Observed Behavior – timid, scared, allowed for PE under restraint only

Evidence of Cruelty seen – n

Evidence of Trauma seen – n

Objective

T = –
P = 180
R = wnl
BCS = 4/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Fractured 104 – no pulp cavity exposure –
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: Reported spayed
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: externally normal

Assessment Healthy
Fractured 104 but no pulp cavity exposed – benign neglect

Prognosis: Excellent

Plan: Complete intake tasks

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