MUSE – A1105948

Brooklyn Center

Muse – A1105948, 17 Years Old, Black and White DSH, Male, 11.5 lbs, Owner Surrender 03/11/17

Medical::

03/11/17:

History – O surrender

Subjective – BAR-H

Observed Behavior – Net required for exam

Evidence of Cruelty seen – None

Evidence of Trauma seen – None

3/5 BCS

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

Oral Exam: Missing teeth, staining

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

ABD: Not performed

U/G: Entire

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

CNS: mentation appropriate – no signs of neurologic abnormalities

Rectal: Not performed

Assessment – Patient appears to be in good health

Plan – Intake

FeLV/FIV tomorrow

Sx okay pending bloodwork.

03/12/17:

Lab results

CBC: Mild neutrophilia (10.77 K/uL range 1.48-10.29). Rest WNL. HCT=45.5%

CHEM: Mildly elevated cholesterol (234 mg/dL range 65-225), rest WNL.

TT4: 2.3 ug/dL (0.8-4.7)

Assessment: Unremarkable. Cholesterol elevated due to recent eating.

Plan: No therapy indicated. OK for neuter surgery. However, due to age would still recommend this be performed at a veterinary hospital. If DVM elects to neuter here, rec. place IV catheter and provide intra-op IV fluids.

Good prognosis.

Profile::

03/11/17:

Muse is 17 year old male domestic short hair. He came to his home as a gift from a friend, and is being surrendered due to the owner moving to an apartment complex that does not allow animals. He has no known health issues or injures, and has no recent vet history.

Around strangers Muse is friendly and outgoing and allows the individual to hold him and pet him. He has been around children of various ages and is relaxed and gentle with the children but mostly keeps to himself. He has never lived with any other animal and has no bite history.

During car rides he is cries while he is in the carrier until he is taking out of the carrier. He enjoys being held, but will struggle to go into the carrier. Muse was described as friendly, affectionate and mellow by his previous family and has a low activity level. He enjoys lying around the home and usually sleeps anywhere around the house. Muse is free feed dry of the Purina brand only, because wet food gives him diarrhea. He is litter box trained and uses an uncovered litter box with fresh Step Litter. She has a vertical scratching post made of rough rope.

Upon intake Muse was friendly and allowed the counselor to hold him and pet him. The counselor was able to collar and take a photo, however he struggle and hissed when placed in the carrier.

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