LAVENDER – A1124927

STATEN ISLAND CENTER

LAVENDER – A1124927

FEMALE, GRAY / WHITE, DOMESTIC SH MIX,12 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition GERIATRIC Intake Date 09/09/2017, From NY 10301, DueOut Date 09/12/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 12 years Microchip noted on Intake? History :injured stray cat Subjective: QAR Observed Behavior – quiet, docile; purring initially; growled when LH manipulated but likely due to pain Evidence of Cruelty seen – none Evidence of Trauma seen – LH lameness Objective BCS 3/9 EENT: OU-pupils dilated, elevated 3rd eyelid, likely due to simbadol; AU-mild erythema, discharge; pruritic; no nasal discharge Oral Exam:mm pk/pigmented; moderate to severe tartar/staining PLN: No enlargements noted H/L: purring on auscultation ABD: soft, nonpainful, doughy; no palpable abnormalities U/G: MSI: LH-weight bearing lameness; severe muscle atrophy; limb hangs abnormally, suspect femoral fracture mild to moderate diffuse muscle wasting unthrifty hair coat, flea debris CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment LH lameness-suspect fracture Plan CBC/chem LH/pelvic rads Prognosis:guarded SURGERY: perm waiver due to geriatric
Weight 5.0

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