MILKY WAY – 22499

DVM Intake Exam

Estimated age: 2yo
Microchip noted on Intake? neg
Microchip Number (If Applicable):

History : stray. Started off nice with Behavior, but at the end of their exam began swatting and biting at carrier gate and cat gloves. P also growled and tried to swat when handler brought her to DVM intake.

Subjective: BARH. Restrained in net due to behavior. Limited PE.

Observed Behavior –

Evidence of Cruelty seen – n

Evidence of Trauma seen – n

Objective

T =
P = wnl
R = wnl
BCS 5/9

EENT: Eyes clear, no nasal or ocular discharge noted
Oral Exam: mild staining noted on LVT intake
PLN: not assessed
H/L: NSR, NMA, Lungs clear, eupnic
ABD: not assessed
U/G: FI
MSI: Ambulatory x 4, no ectoparasites seen, no overt masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities

Assessment
intact female
apparently healthy on limited PE

Prognosis: good

Plan:
plan for OHE

SURGERY:
Okay for surgery